Donte Fuller

NPI #1982298139 in Linn, West Virginia

Provider Information

NPI Number: 1982298139
Entity Type: Individual
Name: Donte Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 26, 2021
Last Updated: Feb 26, 2021

Practice Location

Address: 25 SAND FORK RD
City: Linn
State: West Virginia
ZIP Code: 26384-8235
Phone: (304) 462-8858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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