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CARLA JUDITH FULLER LPN

Nursing Care, Pediatric

Hornell, New York

Provider NPI: 1376724211

Provider Information:
 CARLA JUDITH FULLER LPN


Practice Location:
88 E MAIN ST  HORNELL, NY 14843 US
Tel: 585-201-6166  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3140N1450XNursing & Custodial Care Facilities
Skilled Nursing Facility
Nursing Care, Pediatric
NY217696-1

Other Provider Identifiers:

IssuerNumberStateType
02713931NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PEDIATRIC NURSING JOBS NY - Page 1



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