Camden Bradley Fuller Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Rancho Mirage, CA
- NPI
- 1346937166
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-04-20
- Last updated
- 2024-05-05
Practice location
39000 Bob Hope Dr., Achs - Gme Office
Rancho Mirage, CA 92270-3221
(760) 834-3782