Shaunte Fulcher

Driver in Fort Myers, FL. Individual provider (NPI-1).

NPI number1164057782

StatusActive

Last updated in NPPESMar 4, 2020

Details

NPI: 1164057782
Entity type: Individual (NPI-1)
Name: Shaunte Fulcher
Sex: Female
Sole proprietor: No
Enumeration date: Mar 4, 2020
Certification date: Mar 4, 2020
Last updated: Mar 4, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
172A00000X	Driver	F426794809080	FL	Yes

Practice location

2804 Price Ave
Fort Myers, FL 33916-4214

Phone 404-844-1123

Mailing address

1512 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2150

Phone 404-844-1123

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