MARIA FULLER

LAKE HAVASU CITY, AZ
NPI1134515612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  1154)
Enumeration Date2015-04-10
Last Update Date2016-08-10
Business Address
-- MARIA FULLER CRNA
2795 POSEIDON DR
LAKE HAVASU CITY, AZ 86404-3259
Phone number: 816-769-5775
Mailing Address
-- MARIA FULLER CRNA
2795 POSEIDON DR
LAKE HAVASU CITY, AZ 86404-3259
Phone number: 816-769-5775
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