Individual
YUNDIA RENEE FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 183RD AVE SW, ROCHESTER, WA 98579-9257
(208) 651-4841
Mailing address
8326 183RD AVE SW, ROCHESTER, WA 98579-9257
(208) 651-4841
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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