Individual
MONIQUE ANNE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 806-5379
Mailing address
4101 PARKLAWN AVE, APT 308, EDINA, MN 55435-4684
(262) 352-7215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2116
MN
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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