Individual
MISS BETTY JAYNE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13495 KIMBERLY RD, NELSONVILLE, OH 45764
(740) 753-3797
(740) 753-3797
Mailing address
6170 HUDNELL RD, ATHENS, OH 45701
(740) 593-5266
(740) 593-5266
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2110094
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211-0094
STATE PIN
OH
Enumeration date
02/12/2007
Last updated
07/08/2007
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