JORDAN DAVID FOSTER

PALM DESERT, CA
NPI1508503509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  138955)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28252823A)
Enumeration Date2022-05-19
Last Update Date2022-08-29
Business Address
Mr. JORDAN DAVID FOSTER RN
127 ROMANZA LN
PALM DESERT, CA 92211-0777
Phone number: 517-256-3944
Mailing Address
Mr. JORDAN DAVID FOSTER RN
3108 CANTERBURY BLVD APT 1
FORT WAYNE, IN 46835-3228
Phone number: 517-256-3944