Individual
MR. ANDRE LEVON FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-7423
(209) 558-4332
Mailing address
621 14TH ST, MODESTO, CA 95354-2530
(209) 569-0373
(209) 529-8519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
05/22/2025
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