Individual
DARLA J FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 N MAIN ST, RENVILLE, MN 56284-0430
(320) 329-3937
(320) 329-3894
Mailing address
PO BOX 430, RENVILLE, MN 56284-0430
(320) 329-3937
(320) 329-3894
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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