MARIA TERESA CERVANTES-FULLMER

IDAHO FALLS, ID
NPI1477020303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: ID  46717)
Enumeration Date2018-10-29
Last Update Date2020-01-30
Business Address
Mrs. MARIA TERESA CERVANTES-FULLMER FNP
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2790
Mailing Address
Mrs. MARIA TERESA CERVANTES-FULLMER FNP
PO BOX 741716
ATLANTA, GA 30374-1716
Phone number: