Individual
JAWANZA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 US HIGHWAY 80 E UNIT A, DEMOPOLIS, AL 36732-3921
(334) 289-1193
(334) 289-1196
Mailing address
1502 US HIGHWAY 80 E UNIT A, DEMOPOLIS, AL 36732-3921
(334) 289-1193
(334) 289-1196
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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