Individual
GLORIA JEAN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
121 CIRCLE DRIVE, JENNERSTOWN, PA 15547-1554
(814) 629-7144
Mailing address
PO BOX 332, JENNERSTOWN, PA 15547-0332
(814) 629-7144
(814) 629-7144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002471
PA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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