Individual
NICHOLAS FULWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 N SIGNAL ST, OJAI, CA 93023-1829
(206) 313-1772
Mailing address
226 W OJAI AVE # 101-534, OJAI, CA 93023-3277
(206) 313-1772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47026
CA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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