Individual
JENNIFER RODRIGUEZ FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 MIAMI VALLEY DR STE 160, CENTERVILLE, OH 45459-4774
(937) 312-1661
(937) 312-1701
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006149
OH
363A00000X
Physician Assistant
C06155
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378844
—
OH
Enumeration date
10/13/2016
Last updated
10/03/2022
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