Individual
MISS FELICIA F FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3368 6TH ST SE APT 103, WASHINGTON, DC 20032-3828
(202) 407-5402
Mailing address
3368 6TH ST SE APT 103, WASHINGTON, DC 20032-3828
(202) 407-5402
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070105160
—
DC
Enumeration date
11/27/2018
Last updated
11/27/2018
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