NPI 1003158320
Latisha Fuller
Practice location
- Address
- 5125 S Utica Ave APT 4, Tulsa, OK 74105-5727
- Phone
- (918) 734-5259
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003158320
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Mar 2013
- Record last updated
- 25 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.