Individual
SANDRA J FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34911 78TH AVE E, EATONVILLE, WA 98328
(253) 846-5141
(253) 846-5817
Mailing address
34911 78TH AVE E, EATONVILLE, WA 98328
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
578400
WA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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