CLINTON JAMES FORISKA

TACOMA, WA
NPI1982277703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-07-20
Last Update Date2022-04-23
Business Address
CLINTON JAMES FORISKA DO
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-792-6680
Mailing Address
CLINTON JAMES FORISKA DO
101 RAINBOW WAY UNIT B
KELSO, WA 98626-2046
Phone number:
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