Jackie Forgey, LMP

NPI #1467590638 in Federal Way, Washington

Provider Information

NPI Number: 1467590638
Entity Type: Individual
Name: Jackie Forgey, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Feb 1, 2007
Last Updated: Sep 24, 2009

Practice Location

Address: 200 S 333RD ST
Address 2: SUITE 140
City: Federal Way
State: Washington
ZIP Code: 98003-7359
Phone: (253) 661-8685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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