Individual
ERIN NICOLE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 599-3780
Mailing address
1380 LUSITANA ST, STE 412, HONOLULU, HI 96813-2440
(808) 599-3780
(808) 538-1672
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A133947
CA
207N00000X
Dermatology Physician
Primary
MD-21157
HI
Other
Enumeration date
06/20/2011
Last updated
12/31/2020
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