Sydney Elaine Fuller
Student in an Organized Health Care Education/Training Program in Fairfield, OH. Individual provider (NPI-1).
NPI number1376184077
StatusActive
Last updated in NPPESOct 3, 2019
Details
- NPI
- 1376184077
- Entity type
- Individual (NPI-1)
- Name
- Sydney Elaine Fuller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2019
- Last updated
- Oct 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
190 Woodstock DrFairfield, OH 45014-5246
Phone 513-372-1289
Mailing address
190 Woodstock DrFairfield, OH 45014-5246
Phone 513-372-1289
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