NPI | 1043578875 |
---|---|
Doing Business As | SHELIA FULLER OD |
Entity Type | Organization |
Authorized Contact | SHELIA FULLER President 419-525-2060 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4901-T1771) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2012-07-11 |