Miss Terrell A Fuller, LPN | |
561 Irvington Ave, Newark, NJ 07106-3103 | |
(973) 373-0387 | |
Not Available |
Full Name | Miss Terrell A Fuller |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 561 Irvington Ave, Newark, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336838267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP53855 (Maryland) | Primary |
Mailing Address | Practice Location Address |
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Miss Terrell A Fuller, LPN 850 Stephenson Hwy Ste 612, Troy, MI 48083-1127 Ph: (888) 451-2519 | Miss Terrell A Fuller, LPN 561 Irvington Ave, Newark, NJ 07106-3103 Ph: (973) 373-0387 |
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