CODI FULLER

LEWISTON, ID
NPI1093102428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-1649)
Enumeration Date2015-04-23
Last Update Date2016-07-31
Business Address
-- CODI FULLER D.C.
30207 ROSENKRANTZ RD
LEWISTON, ID 83501-5229
Phone number: 208-691-8647
Mailing Address
-- CODI FULLER D.C.
30207 ROSENKRANTZ RD
LEWISTON, ID 83501-5229
Phone number: 208-691-8647
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