Individual
HALEY DANIEL FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3048
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(901) 450-4059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005455
NC
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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