Most Relevant Information
Provider Data
| NPI Number: | 1003822701 |
| Provider Name: | JANELL FULLER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2080N0001X |
| Specialty: | Pediatrics |
| License Number: | 2004-0232 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 09/13/2023 |
Provider Practice Location
3RD AMBULATORY CARE CTR
2211 LOMAS BLVD. NE
ALBUQUERQUE
NM
871310001
Practice Location Phone/Fax
| Phone: | 5052722345 |
| Fax: |
Provider Mailing Location
2211 LOMAS BLVD NE
MSC10 5590
ALBUQUERQUE
NM
871310001
Provider Mailing Phone/Fax
| Phone: | 5052722345 |
| Fax: |