Individual
MISS VICTORIA CHRISTINE FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
306 S MOUNTAIN BLVD, WILKES-BARRE, PA 18702
(570) 234-6370
Mailing address
306 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1916
(570) 234-6370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004331
PA
Other
Enumeration date
05/21/2009
Last updated
11/07/2014
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