Individual
LISA MARIE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4417 ADAIR ST, SAN DIEGO, CA 92107-3801
(619) 241-6440
Mailing address
4417 ADAIR ST, SAN DIEGO, CA 92107-3801
(619) 241-6440
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
450604
CA
Other
Enumeration date
07/16/2025
Last updated
07/18/2025
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