Individual
DIANA M FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 MAGNOLIA AVE #202, RIVERSIDE, CA 92506-1874
(909) 625-7730
(909) 625-3352
Mailing address
5790 MAGNOLIA AVE #202, RIVERSIDE, CA 92506-1874
(909) 625-7730
(909) 625-3352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PL 8178
CA
Other
Enumeration date
10/02/2006
Last updated
04/22/2009
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