Individual
MRS. MANDY JO FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
715 E PRATT ST, DE SOTO, MO 63020-2154
(636) 209-1063
Mailing address
715 E PRATT ST, DE SOTO, MO 63020-2154
(636) 209-1063
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
2001017861
MO
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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