# ANGEL FOSTER'S MASSAGE STUDIO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538515002
- **Authorized official:** ANGEL FOSTER LMT (OWNER/ LMT)
- **Authorized official phone:** (727) 400-2052

## Contact information

- **Practice address:** 19111 W 10 MILE RD, SUITE 224, SOUTHFIELD, MI 48075-2417
- **Practice address phone:** (727) 400-2052
- **Mailing address:** 19111 W 10 MILE RD, SUITE 224, SOUTHFIELD, MI 48075-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | MA58664 | FL | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 05/13/2016
