Shantell Foster
Adult Companion in Yulee, FL. Individual provider (NPI-1).
NPI number1962034744
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1962034744
- Entity type
- Individual (NPI-1)
- Name
- Shantell Foster
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
96159 Mount Zion LoopYulee, FL 32097-6332
Phone 904-753-3285 · Fax 904-849-7124
Mailing address
96159 Mount Zion LoopYulee, FL 32097-6332
Phone 904-753-3285 · Fax 904-849-7124
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