Gregory Fullante
NPI #1063871580 in Stanton, California
Provider Information
- NPI Number
- 1063871580
- Entity Type
- Individual
- Name
- Gregory Fullante
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Feb 11, 2016
- Last Updated
- Feb 11, 2016
Practice Location
- Address
- 8413 PALAIS RD
- City
- Stanton
- State
- California
- ZIP Code
- 90680-1718
- Phone
- (714) 651-9560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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