Search › California › 101YA0400X
Shane Fuller
NPI 1497112114 · on the registry since 2016
Practice
- Address
- 11255 Mann Rd
Wilton, CA 95693 - Phone
- (916) 606-0027
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California