Individual
MR. ANTAWAII FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(833) 711-4340
Mailing address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(833) 711-4340
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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