Individual
MRS. JANICE RAYE FORESYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 NORTH 55TH AVE, YAKIMA, WA 98908
(509) 972-0965
(509) 972-0965
Mailing address
408 NORTH 55TH AVE, YAKIMA, WA 98908
(509) 972-0965
(509) 972-8162
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
A430500
WA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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