KENYA MONIQUE FULLER

FRENCH CAMP, CA
NPI1063256139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  40338)
Enumeration Date2024-06-24
Last Update Date2024-10-21
Business Address
KENYA MONIQUE FULLER
7224 S RECOVERY RD
FRENCH CAMP, CA 95231-8901
Phone number: 209-888-6595
Mailing Address
KENYA MONIQUE FULLER
7224 S RECOVERY RD
FRENCH CAMP, CA 95231-8901
Phone number: 209-888-6596