Hadley Mayes Unger Fuller
Student in an Organized Health Care Education/Training Program in Berkeley, CA. Individual provider (NPI-1).
NPI number1154094480
StatusActive
Last updated in NPPESAug 2, 2021
Details
- NPI
- 1154094480
- Entity type
- Individual (NPI-1)
- Name
- Hadley Mayes Unger Fuller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2021
- Certification date
- Aug 2, 2021
- Last updated
- Aug 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2640 Martin Luther King Jr WayBerkeley, CA 94704-3238
Phone 651-276-5115
Mailing address
2640 Martin Luther King Jr WayBerkeley, CA 94704-3238
Phone 651-276-5115
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