Most Relevant Information
Provider Data
| NPI Number: | 1003045378 |
| Provider Name: | SARA ANN FULTON |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2009 |
| Last Updated: | 07/08/2009 |
Provider Practice Location
201 E SWANSON AVE
STE 13
WASILLA
AK
996547054
Practice Location Phone/Fax
| Phone: | 9073761922 |
| Fax: |
Provider Mailing Location
201 E SWANSON AVE
STE 13
WASILLA
AK
996547054
Provider Mailing Phone/Fax
| Phone: | 9073761922 |
| Fax: |