WALTER DAN FULGHAM

SANTA CLARA, CA
NPI1447490842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA20214)
Enumeration Date2009-02-24
Last Update Date2022-01-03
Business Address
-- WALTER DAN FULGHAM PA-C
710 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 408-687-0969
Mailing Address
-- WALTER DAN FULGHAM PA-C
710 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number:
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