Individual
TAMMY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QSP, MED TECH, CPR
Contact information
Practice address
43 HORSESHOE BND, HORACE, ND 58047-5718
(701) 405-5557
Mailing address
43 HORSESHOE BND, HORACE, ND 58047-5718
(701) 405-5557
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
ND
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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