Individual
MS. MARY JANE FOOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGOCP, WPAFB, OH 45433-5546
(937) 257-6991
Mailing address
1030 MCPHERSON RD, XENIA, OH 45385-7327
(937) 376-9560
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
192624
OH
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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