Individual
K'ARA FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
5236 S CLARENDON ST, DETROIT, MI 48204-2921
(313) 413-0439
Mailing address
5236 S CLARENDON ST, DETROIT, MI 48204-2921
(313) 413-0439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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