MRS. Michelle Renee Fuller

NPI #1790392041 in London, Ohio

Provider Information

NPI Number: 1790392041
Entity Type: Individual
Name: MRS. Michelle Renee Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 1082 AMHERST BLVD
City: London
State: Ohio
ZIP Code: 43140-8576
Phone: (614) 209-5344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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