Individual
MRS. LATEASHEA LAURIE ANN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11944 167TH ST, JAMAICA, NY 11434-5721
(917) 375-4749
Mailing address
11944 167TH ST, JAMAICA, NY 11434-5721
(917) 375-4749
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/18/2018
Last updated
08/05/2024
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