RUSSELL F FULLER

LA JOLLA, CA
NPI1912336413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  PSY16530)
Enumeration Date2013-11-05
Last Update Date2013-11-05
Business Address
DR. RUSSELL F FULLER PSY.D.
4225 EXECUTIVE SQ SUITE 1110
LA JOLLA, CA 92037-9122
Phone number: 858-558-7707
Mailing Address
DR. RUSSELL F FULLER PSY.D.
4225 EXECUTIVE SQ SUITE 1110
LA JOLLA, CA 92037-9122
Phone number: 858-558-7707
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