Renae Fulks

NPI # 

Practice Address:

13460 Cambridge St Apt 203

Southgate, MI, 48195-1540

Practice Phone:

734-444-6831

License Number:

4703111417

License State:

MI

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Licensed Practical Nurse

Taxonomy Code:

164W00000X

Updated by NPPES on 5/8/2015. You can view the original data set for NPI # 1023496288 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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