Individual
DONITA J FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1140 W 500 S, VERNAL, UT 84078-2914
(435) 789-6300
(435) 789-6325
Mailing address
1140 W 500 S, PO BOX 1908, VERNAL, UT 84078-2914
(435) 789-6300
(435) 789-6325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660982
TX
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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