Search › Louisiana › 171M00000X
Ebony Fuller
NPI 1336519677 · on the registry since 2015 · sole proprietor
Practice
- Address
- 52 Turnbury Dr
Bossier City, LA 71111 - Phone
- (318) 655-5720
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2019-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana