Individual
KARISSA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LND
Contact information
Practice address
1ER PISO, CENTRO MEDICO DE PUERTO RICO, EDIF. DECANATO DE ESTUDIANTES, SAN JUAN, PR 00926
(787) 773-8283
Mailing address
161 CALLE CESAR GONZALEZ APT 6, SAN JUAN, PR 00918-1423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2108
PR
Other
Enumeration date
11/10/2020
Last updated
10/27/2022
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