Kenya Monique Fuller
NPI #1063256139 in French Camp, California
Provider Information
- NPI Number
- 1063256139
- Entity Type
- Individual
- Name
- Kenya Monique Fuller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Oct 21, 2024
Practice Location
- Address
- 7224 S RECOVERY RD
- City
- French Camp
- State
- California
- ZIP Code
- 95231-8901
- Phone
- (209) 888-6595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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