Individual
DEANNE FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 WALNUT ST, MCKEESPORT, PA 15132-7300
(412) 491-6390
Mailing address
1413 GILMORE DR, JEFFERSON HILLS, PA 15025-2703
(412) 491-6390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
548648
PA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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