Carla Judith Fuller, LPN Valid NPI

Individual provider · Pediatric Skilled Nursing Facility · Hornell, NY

NPI

1376724211

Type

Individual (Type 1)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

217696-1 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-11-20

Last updated

2007-11-20