Individual
REBECCA GIRTZ FORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2902 SUDDERTH DR, RUIDOSO, NM 88345-6320
(505) 937-2075
Mailing address
PO BOX 1250, ALTO, NM 88312-1250
(505) 937-2075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3827
NM
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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