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Individual

ANGELICA KATELINE FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
359 WHITNEY RD STE 17, SPARTANBURG, SC 29303-3167
(864) 345-0855
Mailing address
359 WHITNEY RD STE 17, SPARTANBURG, SC 29303-3167
(864) 345-0855

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
45451
SC
164W00000X
Licensed Practical Nurse
Primary
P45451
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P45451
LPN NUMBER
SC
Enumeration date
10/07/2021
Last updated
10/07/2021
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