Individual
FIONA MAY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 4TH AVE E APT 211, DICKINSON, ND 58601-4014
(701) 456-7242
Mailing address
1619 CARROLL ST APT 211, DICKINSON, ND 58601-5519
(760) 382-6341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1949
ND
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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