Individual
ANGELA FOGLESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5437
(810) 985-9011
Mailing address
2201 10TH ST, PORT HURON, MI 48060-6220
(810) 982-7405
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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