SearchWest Virginia374U00000X

Judith Fuller

NPI 1053205880 · on the registry since 2025 · sole proprietor

Practice

Address
12068 Back Mountain Rd
Durbin, WV 26264
Phone
(304) 456-4994

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-06-05

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 West Virginia