Individual
MICHAEL FOSTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
8831 CREST VIEW DR, CORONA, CA 92883-9112
(760) 486-7029
Mailing address
8831 CREST VIEW DR, CORONA, CA 92883-9112
(760) 486-7029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92205
CA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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