Individual
KALEEN MARIE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
800 CHATEAU DR, CRESTLINE, CA 92325-9501
(763) 772-5896
Mailing address
PO BOX 3342, CRESTLINE, CA 92325-3342
(763) 772-5896
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM598
CA
Other
Enumeration date
02/11/2020
Last updated
03/19/2020
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