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Sierra Ruth Fuller
Student in an Organized Health Care Education/Training Program in Medford, Massachusetts
NPI 1508316829

Sierra Ruth Fuller is a Student in an Organized Health Care Education/Training Program based in Medford, MA. Sierra Ruth Fuller practices in Medford, MA. The NPI Number for Sierra Ruth Fuller is 1508316829 and holds a License No. (Massachusetts).

The current practice location address for Sierra Ruth Fuller is 345 Salem St, Medford, MA and can be reached out via phone at 508-789-9986. You can also correspond with Sierra Ruth Fuller through the mailing address at 345 SALEM ST, MEDFORD, MA - 02155-3308 (mailing address contact number: 508-789-9986).

Location: 345 Salem St, Medford, MA, 02155-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508316829
Provider Name
Sierra Ruth Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
345 Salem St, Medford, MA, 02155-3308
Phone Number
508-789-9986
Fax Number
Provider Enumeration Date
10/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
345 Salem St
City
Medford
State
Massachusetts
Zip
02155-3308
Phone Number
508-789-9986
Fax Number
person
Provider Business Mailing Address Details
Address
345 Salem St
City
Medford
State
Massachusetts
Zip
02155-3308
Phone Number
508-789-9986
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.
(Massachusetts)
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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