Fuller, Sierra Ruth

Fuller, Sierra Ruth is an individual health care provider with primary practice located at 345 Salem St , Medford MA 02155-3308. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Fuller, Sierra Ruth can be contacted via phone (508) 789-9986.

Contact Information

Primary practice address
345 Salem St Medford MA 02155-3308
Phone: (508) 789-9986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts

Profile Details

NPI number 1508316829
LBN Legal business name Fuller, Sierra Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Oct 11th, 2016 - about 9 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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