Individual
TOMIKIA D FULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27651 MILLS AVE APT J, EUCLID, OH 44132-3034
(216) 372-6900
Mailing address
27651 MILLS AVE APT J, EUCLID, OH 44132-3034
(216) 278-2641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.137189-M-IV
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP481207
OH
Other
Enumeration date
01/02/2012
Last updated
09/05/2023
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