TERRELL A FULLER

NEWARK, NJ
NPI1336838267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP53855)
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
Miss TERRELL A FULLER LPN
561 IRVINGTON AVE
NEWARK, NJ 07106-3103
Phone number: 973-373-0387
Mailing Address
Miss TERRELL A FULLER LPN
850 STEPHENSON HWY STE 612
TROY, MI 48083-1127
Phone number: 888-451-2519
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