FORREST E HENRY

LORDSBURG, NM
NPI1407810179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  A-1382-06)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NM  t-252)
Enumeration Date2006-04-12
Last Update Date2013-02-14
Business Address
-- FORREST E HENRY DO
530 DEMOSS STREET
LORDSBURG, NM 88045-2618
Phone number: 575-542-2313
Mailing Address
-- FORREST E HENRY DO
530 DEMOSS STREET
LORDSBURG, NM 88045-2618
Phone number: 575-542-2313