Benjamin A Fuller
Benjamin A Fuller is a Student in an Organized Health Care Education/Training Program in Santa Fe, New Mexico. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1300 Luisa St Ste 7Santa Fe, NM 87505-4177
Phone: (505) 416-8009
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1306614904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2023 |
| Last updated in NPPES | December 13, 2023 |
| Certification date | December 13, 2023 |
| Mailing address | 1300 Luisa St Ste 7, Santa Fe, NM 87505-4177 |
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