Individual
MRS. GEMMA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 1ST AVE, PEABODY, MA 01960-4959
(617) 733-1383
Mailing address
80 ARLINGTON RD, WOBURN, MA 01801-4942
(617) 733-1383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2316663
MA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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