Individual
APOLLONIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
903 N UNION ST, LINCOLN, IL 62656-1166
(217) 870-1126
Mailing address
903 N UNION ST, LINCOLN, IL 62656-1166
(217) 870-1126
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
273111646420971
IL
Other
Enumeration date
11/09/2023
Last updated
01/13/2024
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