Individual
THOMAS R FORNEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPP
Contact information
Practice address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
(985) 735-0970
Mailing address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
CPP-5001
LA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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