MIMI O FULLER

SPARTANBURG, SC
NPI1326155128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  SCAPN987)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  AANA22356)
Enumeration Date2006-08-25
Last Update Date2007-10-25
Business Address
-- MIMI O FULLER CNA
735 E MAIN STREET
SPARTANBURG, SC 29302-1281
Phone number: 864-542-1308
Mailing Address
-- MIMI O FULLER CNA
735 E MAIN STREET
SPARTANBURG, SC 29302-1281
Phone number: 864-542-1308