Individual
JANICE CECILIA FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CLAYTON AVENUE ELEMENTARY SCHOOL, 209 CLAYTON AVENUE, VESTAL, NY 13850
(607) 757-2274
(607) 757-2372
Mailing address
CLAYTON AVENUE ELEMENTARY SCHOOL, 209 CLAYTON AVENUE, VESTAL, NY 13850
(607) 757-2274
(607) 757-2372
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
297546-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6077489473
—
NY
Enumeration date
06/24/2019
Last updated
06/24/2019
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