SVETLANA GENNADIEVNA FULLER

SAN DIEGO, CA
NPI1801029814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  631459)
Enumeration Date2009-08-25
Last Update Date2016-01-22
Business Address
-- SVETLANA GENNADIEVNA FULLER RN
5202 UNIVERSITY AVE
SAN DIEGO, CA 92105-2268
Phone number: 619-208-7711
Mailing Address
-- SVETLANA GENNADIEVNA FULLER RN
629 2ND ST
ENCINITAS, CA 92024-3507
Phone number: 760-585-5571
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