Individual
PROF. AVA R FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 753-0304
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 753-0304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704179618
MI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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