Individual
KIMBERLY FOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 REAR FOURTH AVE, JESSUP, PA 18434-1455
(570) 903-0548
Mailing address
409 REAR FOURTH AVE, JESSUP, PA 18434-1455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281062
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-1928296
HUMAN RESOURCES CENTER INC
PA
Enumeration date
11/06/2013
Last updated
11/06/2013
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