Individual
SHYLYNN BRIANN FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 W 13TH ST APT 14, WELLSTON, OH 45692-2259
(220) 710-4590
Mailing address
249 W 13TH ST APT 14, WELLSTON, OH 45692-2259
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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