Individual
DONNA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 NW 72ND ST STE 255, WARR ACRES, OK 73132-5922
(405) 693-3519
Mailing address
5601 NW 72ND ST STE 255, WARR ACRES, OK 73132-5922
(405) 693-3519
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
HC8136
OK
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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