Individual
SONIA C. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
29 S 23RD ST, 2ND FLOOR, KENILWORTH, NJ 07033-1629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04986900
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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