Individual
ANESHA FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 S DRACKERT ST, HAMMOND, IN 46320-2501
(219) 931-5091
Mailing address
832 S DRACKERT ST, HAMMOND, IN 46320-2501
(219) 931-5091
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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