Individual provider · Type 1 NPI
Wendy Fullam
Other Technician · Clearlake, CA
NPI number
1558997239
Active
Practice location
15856 28th Ave
Clearlake, CA 95422-8189
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1558997239
Wendy Fullam's National Provider Identifier is 1558997239, issued on Mar 13, 2020. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Clearlake, CA. The record was last updated on Mar 16, 2020.