Individual
GEORGE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 VAN CAMP AVE, OMAHA, NE 68108-1961
(402) 813-7011
Mailing address
1824 VAN CAMP AVE, OMAHA, NE 68108-1961
(402) 813-7011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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