Individual
FORREST FASIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2028
(775) 688-3308
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2028
(775) 688-3308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11750
NV
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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