Individual
SEANIA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S JONES BLVD, LAS VEGAS, NV 89107-2657
(702) 639-1940
(702) 920-9404
Mailing address
1200 W CHEYENNE AVE APT 2094, NORTH LAS VEGAS, NV 89030-7883
(702) 772-6759
(702) 920-9404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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