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Destinie Fuller
NPI 1407559651 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12437 Lewis St Ste 100
Garden Grove, CA 92840 - Phone
- (909) 329-8672
- Clinicians at this address
- 420
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2023-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California