Individual
SHAMERE RENEE FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 S MAIN ST STE T, LEWISTOWN, PA 17044-2386
(717) 857-2321
Mailing address
129 S MAIN ST STE T, LEWISTOWN, PA 17044-2386
(717) 857-2321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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