Individual
NANCY C FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
104 ROBIN HOOD DR, SUITE 1, SWANTON, VT 05488-8003
(802) 868-7725
(802) 868-3703
Mailing address
3 CANADA ST, SWANTON, VT 05488-1322
(802) 868-7725
(802) 868-3703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060000713
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012108
—
VT
Enumeration date
05/14/2007
Last updated
09/20/2013
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