Darla J Fuller

NPI #1114013042 in Renville, Minnesota

Provider Information

NPI Number
1114013042
Entity Type
Organization
Organization Name
Darla J Fuller
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
329 N MAIN ST
ZIP Code
56284-0430
Phone
(320) 329-3937

Authorized Official

Name
DARLA J FULLER
Title
OWNER
Phone
(320) 329-3937

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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