Individual
JAMES FORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1728 CHRISTINA AVE, STOCKTON, CA 95204-1708
(209) 423-9351
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27110
CA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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