Individual
MR. TOM FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.;M.A.;A.T.C.
Contact information
Practice address
40700 YUCCA LN, BERMUDA DUNES, CA 92203-8122
(760) 345-2848
(760) 345-8173
Mailing address
40700 YUCCA LN, BERMUDA DUNES, CA 92203-8122
(760) 345-2848
(760) 345-8173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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