Individual
LAUREN NICOLE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
25 VILLAGE CROSSING DR N, GREENWOOD, IN 46143-7075
(317) 646-3539
Mailing address
25 VILLAGE CROSSING DR N APT B, GREENWOOD, IN 46143-7076
(317) 646-3539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21003281
IN
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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