Provider Demographics
NPI:1760037378
Name:FOSTER, TODASHA ANNE-JERLINE
Entity Type:Individual
Prefix:
First Name:TODASHA
Middle Name:ANNE-JERLINE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21685 ERIC RD APT D
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-4231
Mailing Address - Country:US
Mailing Address - Phone:240-561-2869
Mailing Address - Fax:
Practice Address - Street 1:4327 4TH ST SE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3387
Practice Address - Country:US
Practice Address - Phone:434-480-5494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant