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Marlisa Fuller
NPI 1851089577 · on the registry since 2023 · sole proprietor
Practice
- Address
- 6513 Wicklow Pl
Fayetteville, NC 28304 - Phone
- (804) 901-1044
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-01
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 North Carolina