Elise Fultonberg, RD | |
1009 Monarch Way, Superior, CO 80027-8183 | |
(303) 956-7013 | |
Not Available |
Full Name | Elise Fultonberg |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1009 Monarch Way, Superior, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124285457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 706836 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Elise Fultonberg, RD 1009 Monarch Way, Superior, CO 80027-8183 Ph: (303) 956-7013 | Elise Fultonberg, RD 1009 Monarch Way, Superior, CO 80027-8183 Ph: (303) 956-7013 |
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