CHARLOTTE FORKUM

COOKEVILLE, TN
NPI1013045996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TN  42380)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- CHARLOTTE FORKUM
200 W 10TH ST TN DEPT OF HEALTH
COOKEVILLE, TN 38501-6077
Phone number: 931-528-7531
Mailing Address
-- CHARLOTTE FORKUM
5500 WHITTAKER RD
COOKEVILLE, TN 38506-7022
Phone number: