Individual
SHANNON MONIQUE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
884 DANA ST NE, WARREN, OH 44483-3914
(330) 646-3352
Mailing address
884 DANA ST NE, WARREN, OH 44483-3914
(330) 646-3352
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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