K'CHELLE MARI FULLER

OAKLAND, CA
NPI1770200511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
Enumeration Date2022-10-24
Last Update Date2023-06-06
Business Address
K'CHELLE MARI FULLER SUDC
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
Mailing Address
K'CHELLE MARI FULLER SUDC
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
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