Individual
DONELLA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 S STAR LAKE RD, BLDG. 16 APT #203, FEDERAL WAY, WA 98003-3406
(425) 496-4970
Mailing address
2211 S STAR LAKE RD, BLDG. 16 APT #203, FEDERAL WAY, WA 98003-3406
(425) 496-4970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FOSTEDR098BK
WA
Other
Enumeration date
01/26/2017
Last updated
01/27/2017
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