Individual
BETH M FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 NOBLE PL, FLORIDA, NY 10921-1913
(845) 651-4525
Mailing address
19 NOBLE PL, FLORIDA, NY 10921-1913
(845) 651-4525
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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