KATIE MARIE FORSYTH

TARZANA, CA
NPI1700254117
Former NameKATIE MARIE BRENNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95000722)
Enumeration Date2015-09-02
Last Update Date2017-11-25
Business Address
KATIE MARIE FORSYTH MSN, NP-C
19353 VICTORY BLVD
TARZANA, CA 91335-6302
Phone number: 866-389-2727
Mailing Address
KATIE MARIE FORSYTH MSN, NP-C
28140 BOBWHITE CIR UNIT 56
SANTA CLARITA, CA 91350-4427
Phone number: 424-237-4527
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