Individual
VALERIE W. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 MERZ BLVD., STE A, FAIRLAWN, OH 44333
(330) 864-9000
(330) 864-9004
Mailing address
55 MERZ BLVD., STE A, FAIRLAWN, OH 44333
(330) 864-9000
(330) 864-9004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34-008780
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801221
—
OH
Enumeration date
01/26/2006
Last updated
03/14/2023
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