Individual
HANNA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, ROMNEY, WV 26757-1828
(304) 822-4860
Mailing address
301 E MAIN ST, ROMNEY, WV 26757-1828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/26/2024
Last updated
01/22/2025
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