Tinamarie Fullerton

NPI #1174009617 in Bay Shore, New York

Provider Information

NPI Number: 1174009617
Entity Type: Individual
Name: Tinamarie Fullerton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Jul 18, 2018
Last Updated: Jul 18, 2018

Practice Location

Address: 1392 BROOKLYN BLVD
City: Bay Shore
State: New York
ZIP Code: 11706-4013
Phone: (631) 374-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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