JATASHSA LANEE FOREMAN

NORFOLK, VA
NPI1275816035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NC  9664)
Enumeration Date2011-09-27
Last Update Date2011-09-27
Business Address
-- JATASHSA LANEE FOREMAN RDH
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Phone number: 757-953-7011
Mailing Address
-- JATASHSA LANEE FOREMAN RDH
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Phone number: 757-953-7011
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