MR. Krsna Prema Dasa Fullman
NPI #1205407459 in Eagle Point, Oregon
Provider Information
- NPI Number
- 1205407459
- Entity Type
- Individual
- Name
- MR. Krsna Prema Dasa Fullman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Jul 8, 2021
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 1594 E ANTELOPE RD
- City
- Eagle Point
- State
- Oregon
- ZIP Code
- 97524-9601
- Phone
- (541) 778-9223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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