Individual
JENNA FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
15736 VISTA DR, MONTCLAIR, VA 22025-1812
(540) 320-0118
Mailing address
15736 VISTA DR, MONTCLAIR, VA 22025-1812
(540) 320-0118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001218672
VA
174400000X
Specialist
L-46303
VA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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