Individual
MRS. CARLYN MCLEAN FOSTAKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N., N.P.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
(310) 829-6889
Mailing address
2001 SANTA MONICA BLVD, SUITE 280W, SANTA MONICA, CA 90404-2102
(310) 829-7678
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21062
CA
Other
Enumeration date
02/07/2012
Last updated
03/31/2021
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