Individual
COMENZO DE'ANDRE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 RIDDLE RD APT 37, CINCINNATI, OH 45220-2746
(239) 687-9270
Mailing address
506 RIDDLE RD APT 37, CINCINNATI, OH 45220-2746
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
VS789717
OH
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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