Individual
TERI FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
197 W CORRAL AVE, SOLDOTNA, AK 99669-7542
(907) 952-1713
(866) 811-5474
Mailing address
197 W CORRAL AVE, SOLDOTNA, AK 99669-7542
(907) 952-1713
(866) 811-5474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
05/17/2017
Last updated
12/01/2025
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