Individual
TEAIRA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 E HUME RD, LIMA, OH 45806
(419) 233-2346
Mailing address
690 E HUME RD, LIMA, OH 45806-2624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TZ414737
OH
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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