Individual
MS. RACHEL BROOKE FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 N CEDAR CREST BLVD, ALLENTOWN, PA 18104
(610) 820-9000
Mailing address
1605 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-2351
(610) 820-9000
(610) 820-9078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA003860
PA
363AM0700X
Medical Physician Assistant
Primary
MA058391
PA
Other
Enumeration date
09/01/2016
Last updated
12/01/2019
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