MISTY LANE FOSTER

CARMICHAEL, CA
NPI1891031845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT1719)
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
-- MISTY LANE FOSTER PTA
3900 GARFIELD AVE
CARMICHAEL, CA 95608-6647
Phone number: 916-481-6455
Mailing Address
-- MISTY LANE FOSTER PTA
3900 GARFIELD AVE
CARMICHAEL, CA 95608-6647
Phone number: 916-481-6455
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