MARY-FAITH FULLER

DRAPER, UT
NPI1497176911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT  7737232-4405)
Enumeration Date2013-12-31
Last Update Date2013-12-31
Business Address
Mrs. MARY-FAITH FULLER CPNP
12176 S 1000 E STE G
DRAPER, UT 84020-9734
Phone number: 801-523-3030
Mailing Address
Mrs. MARY-FAITH FULLER CPNP
12176 S 1000 E STE G
DRAPER, UT 84020-9734
Phone number: 801-523-3030