Individual
BRIAN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 WINTERCREEK CIR, WADSWORTH, OH 44281-8867
(330) 810-7025
Mailing address
332 WINTERCREEK CIR, WADSWORTH, OH 44281-8867
(330) 810-7025
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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