MR. Stanley B Fuller SR., L.P.N.

NPI #1639344344 in Fremont, Ohio

Provider Information

NPI Number
1639344344
Entity Type
Individual
Name
MR. Stanley B Fuller SR., L.P.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N.
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
117 N WAYNE ST
Address 2
117 N WAYNE ST
State
Ohio
ZIP Code
43420-2431
Phone
(419) 307-2984

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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