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Dr. Shara Marie Fuller, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1407481708

Shara Marie Fuller is a Student in an Organized Health Care Education/Training Program based in Nashville, CA. Shara Marie Fuller practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Shara Marie Fuller is 1407481708 and holds a License No. (California).

The current practice location address for Shara Marie Fuller is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-5617.

Location: 34800 Bob Wilson Dr, San Diego, CA, 37208-3382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407481708
Provider Name
Shara Marie Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 37208-3382
Phone Number
619-532-5617
Fax Number
Provider Enumeration Date
03/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-5617
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-5617
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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