Individual
JUDITH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
12068 BACK MOUNTAIN RD, DURBIN, WV 26264-9018
(304) 456-4994
Mailing address
12068 BACK MOUNTAIN RD, DURBIN, WV 26264-9018
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
About Stedi
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