Individual
DR. RASHARA NICHOLE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 NEPTUNE BLVD, 692, NEPTUNE, NJ 07753-0775
(908) 202-1467
Mailing address
50 NEPTUNE BLVD, 692, NEPTUNE, NJ 07753-3610
(908) 202-1467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00710500
NJ
Other
Enumeration date
08/21/2013
Last updated
03/27/2024
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