Individual
MRS. CANDENA MARIE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CANTERBURY CIR, BATESVILLE, AR 72501-9185
(870) 307-4610
Mailing address
10 CANTERBURY CIR, BATESVILLE, AR 72501-9185
(870) 307-4610
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R085242
AR
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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