Individual
ELIZABETH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 E WOODBURY DR STE 110, DAYTON, OH 45415-2853
(317) 381-1267
Mailing address
77 E WOODBURY DR STE 110, DAYTON, OH 45415-2853
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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