Individual
KIMBERLY FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44131 W KRAMER LN, MARICOPA, AZ 85138-8467
(414) 267-7196
Mailing address
42572 W VENTURE RD, MARICOPA, AZ 85138-1691
(414) 267-7196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
248495
AZ
Other
Enumeration date
12/04/2015
Last updated
03/05/2021
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