Individual
DELLA K FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9057
Mailing address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9057
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1-056016
AL
Other
Enumeration date
03/14/2007
Last updated
12/10/2007
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