Individual
ELIZABETH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HILLS BEACH RD, BIDDEFORD, ME 04005-9526
(413) 362-9337
Mailing address
50 FOUR MILE BROOK RD, NORTHFIELD, MA 01360-9542
(413) 362-9337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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