Individual
VANESSA M FULINARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8455
Mailing address
42740 TIMOTHY CIR, PALM DESERT, CA 92260-2051
(760) 485-8046
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
756791
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016619
CA
Other
Enumeration date
10/07/2019
Last updated
06/27/2023
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