Individual
NADINE MARIE FULLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2341 BOWEN RD, ELMA, NY 14059-9415
(716) 655-3129
(716) 655-4008
Mailing address
2341 BOWEN RD, PO BOX 182, ELMA, NY 14059-9415
(716) 655-3129
(716) 655-4008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0235271
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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