CARLA JUDITH FULLER

HORNELL, NY
NPI1376724211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: NY  217696-1)
Enumeration Date2007-11-20
Last Update Date2007-11-20
Business Address
-- CARLA JUDITH FULLER Lpn
88 E MAIN ST
HORNELL, NY 14843-2074
Phone number: 585-201-6166
Mailing Address
-- CARLA JUDITH FULLER Lpn
9 HUGHES ST E PO BOX 316
BELFAST, NY 14711-8725
Phone number: 585-201-6166
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