Individual
DESHAWNA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 UNDERWOOD AVE, TOLEDO, OH 43607-3172
(419) 870-9590
Mailing address
810 UNDERWOOD AVE, TOLEDO, OH 43607-3172
(419) 870-9590
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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