PAMELA MARY FULLER

GRAND RAPIDS, MI
NPI1851946958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MI  4704188418)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
Mrs. PAMELA MARY FULLER RN
1620 44TH ST SE
GRAND RAPIDS, MI 49508-5002
Phone number: 616-243-6262
Mailing Address
Mrs. PAMELA MARY FULLER RN
1620 44TH ST SE
GRAND RAPIDS, MI 49508-5002
Phone number: 616-243-6262