Fuller, Kenya Monique

Fuller, Kenya Monique is an sole proprietor health care provider with primary practice located at 2121 Flatboat St , Stockton CA 95206-6132. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Fuller, Kenya Monique can be contacted via phone (209) 981-3953.

Contact Information

Primary practice address
2121 Flatboat St Stockton CA 95206-6132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 40338 California

Profile Details

NPI number 1063256139
LBN Legal business name Fuller, Kenya Monique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 5 months 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.

Request for update

Popular Providers