Individual
JALAINA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N NORRIS ST, CLOVIS, NM 88101-6371
(575) 763-3753
Mailing address
1201 N NORRIS ST, CLOVIS, NM 88101-6371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C5292
NM
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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