Individual
LAVENA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8108 EVANSTON AVE, RAYTOWN, MO 64138-2057
(863) 280-3815
Mailing address
8108 EVANSTON AVE, RAYTOWN, MO 64138-2057
(863) 280-3815
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
KS
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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