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Individual

MS. MONIKA VIOLET FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
836 FOXON RD, MEDICAL WEIGHT LOSS CENTER, EAST HAVEN, CT 06513
(203) 468-9200
(203) 468-9661
Mailing address
836 FOXON RD, MEDICAL WEIGHT LOSS CENTER, EAST HAVEN, CT 06513
(203) 468-9200
(203) 468-9661

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002415
CT

Other

Enumeration date
09/15/2010
Last updated
11/21/2012
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