Tierra Fuller
NPI #1669946372 in View Park, California
Provider Information
- NPI Number
- 1669946372
- Entity Type
- Individual
- Name
- Tierra Fuller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Jan 15, 2019
- Last Updated
- Jun 12, 2019
Practice Location
- Address
- 5300 ANGELES VISTA BLVD
- City
- View Park
- State
- California
- ZIP Code
- 90043
- Phone
- (323) 295-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Rehabilitation Practitioner |
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