Fullam, Wendy

Fullam, Wendy is an individual health care provider with primary practice located at 15856 28Th Ave , Clearlake CA 95422-8189. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Fullam, Wendy can be contacted via phone (707) 396-8188.

Contact Information

Primary practice address
15856 28Th Ave Clearlake CA 95422-8189
Phone: (707) 396-8188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1558997239
LBN Legal business name Fullam, Wendy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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