Individual
CHANEL FOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-6605
(321) 690-6459
Mailing address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 454-7148
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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