Individual
AINSLEY JO'ALISE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 PACKARD ST NW, WARREN, OH 44483-3127
(330) 979-0478
Mailing address
704 PACKARD ST NW, WARREN, OH 44483-3127
(330) 979-0478
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
20252883P
OH
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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