Female

Deundra D. Fuller CPSS

Peer Specialist in Waterford, MI(View on Map)

Full Name

Deundra Denise Fuller CPSS

NPI Number

1023641388

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/14/2020

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

279 SUMMIT DR
279 SUMMIT DR

City

Waterford
Waterford

State

MI
MI

Postal Code

48328-3364
48328-3364

Country

US
US

Telephone Number

(248) 409-4139
(248) 409-4139

Identifiers

Identifier

175T00000X

Identifier State

MI

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

dfuller@cnshealth.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

279 Summit DrWaterford, MI483283364US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/14/2020

Provider Address

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