Latosha Fuller

NPI #1114550761 in Richmond, Virginia

Provider Information

NPI Number
1114550761
Entity Type
Individual
Name
Latosha Fuller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Feb 21, 2020
Last Updated
Feb 21, 2020

Practice Location

Address
1812 MADDOX ST
ZIP Code
23223-3828
Phone
(804) 986-7705

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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