Individual
BRENDA CHIQUITA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96 STE C, WARNER ROBINS, GA 31088-2585
(478) 988-7100
(478) 988-8098
Mailing address
940 GA HIGHWAY 96, STE C, WARNER ROBINS, GA 31088-2587
(478) 988-7100
(478) 988-8098
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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