Individual
IMANIE MARIE FOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
4318 S PUGET SOUND AVE UNIT 2B, TACOMA, WA 98409-4538
(253) 325-9322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61438532
WA
Other
Enumeration date
02/18/2025
Last updated
03/18/2025
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