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Melanie Fuller

NPI 1508581604 · on the registry since 2022 · sole proprietor

Practice

Address
2809 N Superstition Ln Apt C
Prescott Valley, AZ 86314
Phone
(928) 701-3339

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-14

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 Arizona