Individual
CATHERINE FULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9781 GOOD LUCK RD APT 4, LANHAM, MD 20706-3339
(301) 825-1813
Mailing address
9781 GOOD LUCK RD APT 4, LANHAM, MD 20706-3339
(301) 825-1813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00153053
MD
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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