ANGELA FULLER

SODDY DAISY, TN
NPI1265991764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  25268)
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
ANGELA FULLER
1923 PORT ROYAL DR
SODDY DAISY, TN 37379-8836
Phone number: 423-602-1544
Mailing Address
ANGELA FULLER
1923 PORT ROYAL DR
SODDY DAISY, TN 37379-8836
Phone number:
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