Individual
KATE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
328 FRANKLIN RD, DENVILLE, NJ 07834-3404
(862) 432-7153
Mailing address
328 FRANKLIN RD, DENVILLE, NJ 07834-3404
(862) 432-7153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0902392
EMT
MA
Enumeration date
12/02/2014
Last updated
12/02/2014
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