Individual
ANEESAH RACQUEL FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
425 COX RD, GASTONIA, NC 28054-0610
(704) 691-6002
(704) 691-6012
Mailing address
425 COX RD, GASTONIA, NC 28054-0610
(704) 691-6002
(704) 691-6012
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
P083301
NC
183700000X
Pharmacy Technician
Primary
33350
NC
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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