Lavishia Tiah Fulton
Lavishia Tiah Fulton is a Student in an Organized Health Care Education/Training Program in Richmond, Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2610 Houston AveRichmond, VA 23222-3824
Phone: (804) 564-4493
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1861165938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2021 |
| Last updated in NPPES | July 26, 2021 |
| Certification date | July 26, 2021 |
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