Organization
FULLERLOVE LLC
Active
Organization
FULLERLOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON FULLER (MANAGER)
(424) 205-9915
Entity
Organization
Contact information
Practice address
4931 W CRAIG RD # 1, LAS VEGAS, NV 89130-2730
(702) 218-9915
Mailing address
4931 W CRAIG RD # 1, LAS VEGAS, NV 89130-2730
(702) 218-9915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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