Erin E Fortin

NPI #1124319223 in Cheyenne, Wyoming

Provider Information

NPI Number: 1124319223
Entity Type: Individual
Name: Erin E Fortin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Apr 22, 2011
Last Updated: Apr 22, 2011

Practice Location

Address: 4514 LARAMIE ST # B
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2154
Phone: (307) 638-8182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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