Individual
CHRISTOPHER FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 I ST SE APT 12, WASHINGTON, DC 20003-4103
(202) 249-1000
Mailing address
3406 N ST SE, WASHINGTON, DC 20019-2946
(202) 249-1000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001976
DLL
DC
Enumeration date
12/06/2022
Last updated
02/08/2024
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