Mr. Krsna Prema Dasa Fullman

Individual provider Home Health Aide · NPI 1205407459

Mr. Krsna Prema Dasa Fullman is a Home Health Aide in Eagle Point, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since: 2021

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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Eagle Point, OR

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Specialties & licences

Home Health Aide (primary)	Taxonomy 374U00000X

Record details

NPI number	1205407459
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	July 8, 2021
Last updated in NPPES	July 8, 2021
Certification date	July 7, 2021