Individual
MS. NANCY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5200 PARK RD, SUITE 111, CHARLOTTE, NC 28209-3650
(980) 228-0820
Mailing address
5200 PARK RD, SUITE 111, CHARLOTTE, NC 28209-3650
(980) 228-0820
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
618
NC
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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