Individual
EDDREKCIA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 S 11TH ST, FORT PIERCE, FL 34950-4002
(772) 201-6423
Mailing address
622 S 11TH ST, FORT PIERCE, FL 34950-4002
(772) 201-6423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5258028
FL
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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