Individual
PAMELA FAY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 CANDLEGLENN, SAN ANTONIO, TX 78244-2153
(210) 962-1333
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
(210) 377-3356
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NA0010358135
TX
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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