Individual
MRS. SHANNON GAYLE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 W ADAMS RD, PENTWATER, MI 49449-8579
(231) 923-6167
Mailing address
2960 W ADAMS RD, PENTWATER, MI 49449-8579
(231) 923-6167
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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