BERTRAM FULLER

DOWNEY, CA
NPI1073793691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA 14719)
Enumeration Date2007-11-12
Last Update Date2007-11-12
Business Address
-- BERTRAM FULLER PAc
7033 STEWART AND GRAY RD UNIT 38
DOWNEY, CA 90241-4355
Phone number: 562-927-0677
Mailing Address
-- BERTRAM FULLER PAc
PO BOX 4808
DOWNEY, CA 90241-1808
Phone number: 562-927-0677
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