Individual
JACQUELINE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23598 CIVIC CENTER DR, SOUTHFIELD, MI 48033-7134
(248) 469-9821
Mailing address
23598 CIVIC CENTER DR, SOUTHFIELD, MI 48033-7134
(248) 469-9821
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112821
MI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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