ANTONIA FULLER

SAINT AUGUSTINE, FL
NPI1942390265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: FL  1606392)
Enumeration Date2006-10-15
Last Update Date2010-01-07
Business Address
Mrs. ANTONIA FULLER A.R.N.P.
354 PASEO REYES DRIVE
SAINT AUGUSTINE, FL 32095
Phone number: 904-808-8595
Mailing Address
Mrs. ANTONIA FULLER A.R.N.P.
354 PASEO REYES DRIVE
SAINT AUGUSTINE, FL 32095
Phone number: 904-808-8595