Individual
GLENDA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9224 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-6678
(501) 333-4433
Mailing address
82 ROLLING OAKS DR, MAUMELLE, AR 72113-6806
(501) 333-4433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4226
AR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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