Individual
MELISSA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 BAXTER BLVD, MAINE MEDICAL PARTNERS OTOLARYNGOLOGY, PORTLAND, ME 04101
(207) 797-5753
(207) 797-9571
Mailing address
54 ASH SWAMP RD, SCARBOROUGH, ME 04074-8939
(207) 303-8283
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP2382
ME
Other
Enumeration date
06/04/2008
Last updated
10/24/2018
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