Individual
MONICA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 680 S, CEDAR CITY, UT 84720-3593
(562) 483-9709
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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