JORGE E. FORNES

FORT DEFIANCE, AZ
NPI1619998762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP1495112)
Enumeration Date2006-07-22
Last Update Date2019-05-22
Business Address
JORGE E. FORNES CRNA
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
JORGE E. FORNES CRNA
PO BOX 3181
FORT DEFIANCE, AZ 86504-3181
Phone number: 928-729-8000
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