Individual
MRS. HOLLY ANN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
106 MARTIN AVE, BOONVILLE, NC 27011-8166
(336) 671-3157
Mailing address
106 MARTIN AVE, BOONVILLE, NC 27011-8166
(336) 671-3157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
01838
NC
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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