Individual
IRIS FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3875
Mailing address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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