Individual
JEFFREY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 763-2407
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 763-2407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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