Jade Alexandra Forsythe

NPI #1114565173 in Provo, Utah

Provider Information

NPI Number: 1114565173
Entity Type: Individual
Name: Jade Alexandra Forsythe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Dec 20, 2019
Last Updated: Dec 20, 2019

Practice Location

Address: 1726 BUCKLEY LN
City: Provo
State: Utah
ZIP Code: 84606-5031
Phone: (801) 373-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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