| Fulera Healthcare Llc | |
|
4108 Maine Ave Baltimore MD 21207-7503 | |
| (301) 793-8201 | |
| Not Available |
| Full Name | Fulera Healthcare Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4108 Maine Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Iddrisu Tia (OWNER) |
| Authorized Official Contact | 3017938201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulera Healthcare Llc 4108 Maine Ave Baltimore MD 21207-7503 Ph: (301) 793-8201 | Fulera Healthcare Llc 4108 Maine Ave Baltimore MD 21207-7503 Ph: (301) 793-8201 |
| NPI Number | 1184450157 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184450157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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