Individual
AMANDA JEAN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143
(415) 476-2131
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
644759
CA
Other
Enumeration date
12/12/2006
Last updated
02/04/2016
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