SAMUEL AARON FULLMER

OAKLAND, CA
NPI1609600600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95034962)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NY  355097)
Enumeration Date2024-08-30
Last Update Date2025-09-03
Business Address
SAMUEL AARON FULLMER
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601-2228
Phone number: 510-535-4400
Mailing Address
SAMUEL AARON FULLMER
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601-2228
Phone number: 510-535-4400