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Individual

MRS. PETAKAY TRUDY FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 CENTERVILLE RD, WILMINGTON, DE 19808-1603
(302) 633-4091
(302) 633-5680
Mailing address
604 DANE CT, NEW CASTLE, DE 19720-5634
(215) 778-1928

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0067802
DE

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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