Johnny Ray Fuller, LVN

NPI #1306346184 in Center, Texas

Provider Information

NPI Number
1306346184
Entity Type
Individual
Name
Johnny Ray Fuller, LVN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Feb 18, 2018
Last Updated
Feb 18, 2018

Practice Location

Address
131 COUNTY ROAD 3102
City
Center
State
Texas
ZIP Code
75935-5581
Phone
(936) 591-9885

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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