Individual
CHARITY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 I 55 N, JACKSON, MS 39211-5542
(601) 850-3559
Mailing address
4780 I 55 N, JACKSON, MS 39211-5542
(601) 850-3559
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M5K6Q4S4
MS
Other
Enumeration date
07/15/2021
Last updated
08/03/2021
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