Individual
MRS. MICHELLE RENEE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1082 AMHERST BLVD, LONDON, OH 43140-8576
(614) 209-5344
Mailing address
1082 AMHERST BLVD, LONDON, OH 43140-8576
(614) 209-5344
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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