Organization
ANGEL FOSTER'S MASSAGE STUDIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL FOSTER LMT (OWNER/ LMT)
(727) 400-2052
Entity
Organization
Contact information
Practice address
19111 W 10 MILE RD, SUITE 224, SOUTHFIELD, MI 48075-2417
(727) 400-2052
Mailing address
19111 W 10 MILE RD, SUITE 224, SOUTHFIELD, MI 48075-2417
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA58664
FL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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