Individual
SAMANTHA A FULSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97109 PIRATES POINT RD, YULEE, FL 32097-6533
(904) 901-1718
Mailing address
201 J NOLAN WELLS RD APT E306, KINGSLAND, GA 31548-6854
(904) 250-8491
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0028905888
GA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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