Individual
NELSON FULTANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6004 SPRINGHILL DR, GREENBELT, MD 20770-3107
(940) 230-7993
Mailing address
6004 SPRINGHILL DR, GREENBELT, MD 20770-3107
(940) 230-7993
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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