T Fuller Enterprises
NPI #1275392094 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1275392094
- Entity Type
- Organization
- Organization Name
- T Fuller Enterprises
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 14, 2024
- Last Updated
- Mar 14, 2024
Practice Location
- Address
- 720 FOXWOOD DR
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-2642
- Phone
- (501) 398-8293
Authorized Official
- Name
- TJYUNNA FULLER
- Title
- OWNER
- Phone
- (501) 398-8293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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| Tjyunna Fuller | |
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