Alice C. Fuller
NPI #1861147753 in Ruidoso, New Mexico
Provider Information
- NPI Number
- 1861147753
- Entity Type
- Individual
- Name
- Alice C. Fuller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 18, 2022
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 2904 SUDDERTH DR STE B
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-6338
- Phone
- (575) 491-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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