Individual
TRINADY RIANNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(505) 269-5313
Mailing address
1652 VERBENA ST, DENVER, CO 80220-2135
(505) 269-5313
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0002130
—
Other
Enumeration date
03/10/2016
Last updated
07/05/2016
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