DONALD JENKINS FULLER

BALTIMORE, MD
NPI1295863587
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0000378)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Mr. DONALD JENKINS FULLER PA-C
401 N BROADWAY RM 1360 WEINBERG BLDG.
BALTIMORE, MD 21231-1146
Phone number: 410-955-8742
Mailing Address
Mr. DONALD JENKINS FULLER PA-C
1216A BALDWIN MILL RD
JARRETTSVILLE, MD 21084-1908
Phone number: 410-557-8389