Individual
MRS. CHRISTINE FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9441648-4104
UT
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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