Individual
MRS. MIRIAM C. FULTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N., NP
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9850
(909) 623-6354
Mailing address
2030 AVENIDA HACIENDA, CHINO HILLS, CA 91709-4700
(909) 393-7913
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN247519
CA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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