Individual
MARANDA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 S. MAIN, LAMAR, CO 81052-8105
(719) 336-8721
(719) 336-9763
Mailing address
1001 S. MAIN, LAMAR, CO 81052
(719) 336-8721
(719) 336-9763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0187795
CO
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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