Individual
JOYCE FULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ARNOLD DR, 140, MARTINEZ, CA 94553-6538
(925) 957-5158
Mailing address
1330 ARNOLD DR, 140, MARTINEZ, CA 94553-6538
(925) 957-5158
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
431212
CA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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