NPI 1043177330

Tamika Fuller

Practitioner Home Modifications Contractor Saint Louis, MO

Practice location

Address: 5932 Brand Ave, Saint Louis, MO 63135-3211
Phone: (314) 417-9512

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

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Registry record

NPI: 1043177330
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2026
Record last updated: 7 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.