Staci Fuller
Staci Fuller is a Rehabilitation Practitioner in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
112 Kola StHenderson, NV 89015-6107
Phone: (951) 801-0329
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1861822397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2013 |
| Last updated in NPPES | November 19, 2013 |
| Mailing address | 112 Kola St, Henderson, NV 89015-6107 |
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