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Ikeyla Fuller

NPI 1457961534 · on the registry since 2020

Practice

Address
6130 Vineland Ave
North Hollywood, CA 91606
Phone
(818) 766-8161
Organisation at this address
Valley Vista Residential Manor Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Female
Record last updated
2020-08-04

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