DEMETRIUS LAVAL FORTE

TACOMA, WA
NPI1700231206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  00055722)
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
Mr. DEMETRIUS LAVAL FORTE LPN
9040 JACKSON AVENUE, ATTN MCHJ-CLQ-C
TACOMA, WA 98431-1000
Phone number: 253-968-1110
Mailing Address
Mr. DEMETRIUS LAVAL FORTE LPN
9040 JACKSON AVENUE, ATTN MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431-1000
Phone number:
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