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Mr. Krsna Prema Dasa Fullman
Home Health Aide in Eagle Point, Oregon
NPI 1205407459

Krsna Prema Dasa Fullman is a Home Health Aide based in Eagle Point, OR. Krsna Prema Dasa Fullman practices in Eagle Point, OR. The NPI Number for Krsna Prema Dasa Fullman is 1205407459 and holds a License No. (Oregon).

The current practice location address for Krsna Prema Dasa Fullman is 1594 E Antelope Rd, Eagle Point, OR and can be reached out via phone at 541-778-9223.

Location: 1594 E Antelope Rd, Eagle Point, OR, 97524-9601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205407459
Provider Name
Krsna Prema Dasa Fullman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1594 E Antelope Rd, Eagle Point, OR, 97524-9601
Phone Number
541-778-9223
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1594 E Antelope Rd
City
Eagle Point
State
Oregon
Zip
97524-9601
Phone Number
541-778-9223
Fax Number
person
Provider Business Mailing Address Details
Address
1594 E Antelope Rd
City
Eagle Point
State
Oregon
Zip
97524-9601
Phone Number
541-778-9223
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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