Individual
BREAHNA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 E 132ND ST, CLEVELAND, OH 44120-3963
(216) 315-8857
Mailing address
3235 E 132ND ST, CLEVELAND, OH 44120-3963
(216) 315-8857
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
UJ590410
OH
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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