Individual
BETESSA FAITH FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 SAINT GERMAINE CT, LOUISVILLE, KY 40207-3776
(808) 364-8281
Mailing address
239 BAKERSFIELD LN, LONDON, KY 40744-7910
(808) 364-8281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1141189
KY
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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