Carlos Fuller, LMBT# 11837

NPI #1306101563 in Charlotte, North Carolina

Provider Information

NPI Number
1306101563
Entity Type
Individual
Name
Carlos Fuller, LMBT# 11837
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Reflexologist
Credential
LMBT# 11837
Enumeration Date
Jul 12, 2012
Last Updated
Jul 12, 2012

Practice Location

Address
1406 BEATTIES FORD RD
ZIP Code
28216-4550
Phone
(704) 492-6784

Specialties & Taxonomy Codes

Specialty
Reflexologist

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