NPI 1205407459

Krsna Prema Dasa Fullman

Practitioner Home Health Aide Eagle Point, OR

Practice location

Address: 1594 E Antelope Rd, Eagle Point, OR 97524-9601
Phone: (541) 778-9223

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Oregon →

Registry record

NPI: 1205407459
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2021
Record last updated: 8 Jul 2021

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.