Individual
MICHELLE DIANE FOSTER-DUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INDEPENDENT DUTY HS
Contact information
Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2262
Mailing address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2262
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
05/22/2014
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