Individual
QUINETTA S FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 SAINT MARK AVE, CLEVELAND, OH 44111-3781
(334) 304-8096
Mailing address
11100 SAINT MARK AVE, CLEVELAND, OH 44111-3781
(334) 304-8096
(334) 304-8096
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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