MARTHA GRANT FULLER

SAN DIEGO, CA
NPI1346449634
Former NameMARTHA WYATT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: CA  NP6272)
Enumeration Date2007-07-16
Last Update Date2022-09-12
Business Address
MS. MARTHA GRANT FULLER PNP
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
Mailing Address
MS. MARTHA GRANT FULLER PNP
3020 CHILDRENS WAY # MC5148
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8801
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