Individual
KATHERINE FOLSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 YOUNG ST, MELBOURNE, FL 32935-7000
(321) 652-9539
Mailing address
PO BOX 361023, MELBOURNE, FL 32936-1023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9530559
FL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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