Individual
CHANELL FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 E FLAMINGO RD STE C, LAS VEGAS, NV 89121-5270
(702) 562-3355
Mailing address
6396 MCLEOD DR, SUITE 9, LAS VEGAS, NV 89120-4428
(702) 912-0600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/22/2014
Last updated
07/16/2025
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