Individual
RACHEL FULLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1881 TELEGRAPH RD, RISING SUN, MD 21911-2018
(410) 658-6555
Mailing address
1881 TELEGRAPH RD, RISING SUN, MD 21911-2018
(410) 658-6555
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
04184
MD
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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