KELLIE L. FULLER

FARMINGTON, NM
NPI1033354352
Former NameKELIE L. HAMILTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NM  5427)
Enumeration Date2008-12-16
Last Update Date2008-12-16
Business Address
-- KELLIE L. FULLER CMT,LMT
626 E MAIN ST # 2
FARMINGTON, NM 87401-2714
Phone number: 505-608-9908
Mailing Address
-- KELLIE L. FULLER CMT,LMT
626 E MAIN ST # 2
FARMINGTON, NM 87401-2714
Phone number: 505-608-9908