Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 17758 | CA |
NPI | 1417086844 |
---|---|
Provider Name | Ms. Rochelle Lynnette Foster |
First Address | San Francisco, CA 94102-3703 |
Second Address | San Francisco, CA 94102-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 19/10/2009 |