KRSNA PREMA DASA FULLMAN

EAGLE POINT, OR
NPI1205407459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2021-07-08
Last Update Date2021-07-08
Business Address
Mr. KRSNA PREMA DASA FULLMAN
1594 E ANTELOPE RD
EAGLE POINT, OR 97524-9601
Phone number: 541-778-9223
Mailing Address
Mr. KRSNA PREMA DASA FULLMAN
1594 E ANTELOPE RD
EAGLE POINT, OR 97524-9601
Phone number: 541-778-9223