Individual
JULIE DIANE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 CORPORAL EVANS RD, MONTEREY, CA 93944-3403
(831) 242-5612
Mailing address
PO BOX 412, TWENTYNINE PALMS, CA 92277-0412
(760) 362-3703
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26281
CA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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