KACEY FOSTER

SAN ANDREAS, CA
NPI1700506839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies251X00000X Supports Brokerage
Enumeration Date2022-08-30
Last Update Date2026-09-28
Business Address
KACEY FOSTER
20 E ST. CHARLES ST
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6602
Mailing Address
KACEY FOSTER
891 MOUNTAIN RANCH RD BLDG L
SAN ANDREAS, CA 95249-9713
Phone number: