Individual
DENISE MARIE FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
933 VALE TERRACE DR STE B, VISTA, CA 92084-5277
(760) 594-2473
Mailing address
879 SMITH DR, VISTA, CA 92084-4433
(760) 594-2473
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
8814
CA
225700000X
Massage Therapist
Primary
8814
CA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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