Individual
MIRANDA FORGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N 6TH AVE, YAKIMA, WA 98902-1474
(509) 965-1816
Mailing address
810 N 6TH AVE, YAKIMA, WA 98902-1474
(509) 965-1816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GC60121218
WA
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/28/2007
Last updated
01/06/2012
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