Individual
MIKAH JAVAY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 S BALLENGER HWY, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
2284 S BALLENGER HWY, FLINT, MI 48503-3446
(810) 221-7871
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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