Individual
DR. GRETA JANET FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM, LAC
Contact information
Practice address
2401 BRANDERMILL BLVD, SUITE 301, GAMBRILLS, MD 21054-1604
(410) 774-0800
(410) 774-0799
Mailing address
2401 BRANDERMILL BLVD, SUITE 301, GAMBRILLS, MD 21054-1604
(410) 774-0800
(410) 774-0799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01901
MD
Other
Enumeration date
06/29/2012
Last updated
03/20/2017
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