ROBERT R FULGHAM

SAN ANDREAS, CA
NPI1306984778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- ROBERT R FULGHAM
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6555
Mailing Address
-- ROBERT R FULGHAM
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6555