Individual
TAMMEY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 TIMBERWOLF LN, HUNTINGTON, WV 25704-9377
(304) 429-1699
(304) 429-2607
Mailing address
1 TIMBERWOLF LN, HUNTINGTON, WV 25704-9377
(304) 429-1699
(304) 429-2607
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
80277
WV
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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