Wendy Fullam
Wendy Fullam is an Other Technician in Clearlake, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
15856 28th AveClearlake, CA 95422-8189
Phone: (707) 396-8188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1558997239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2020 |
| Last updated in NPPES | March 16, 2020 |
| Certification date | March 16, 2020 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |