| NPI | 1649715822 |
|---|---|
| Doing Business As | FULLER LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | REX DUSTIN FULLER Co Owner 480-744-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8466) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |