IndividualActive
Tamika Fuller
NPI 1043177330 · Home Modifications Contractor · Saint Louis, MO
Provider details
- NPI number
- 1043177330
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5932 Brand Ave
Saint Louis, MO 63135-3211
Phone: (314) 417-9512
Approximate (ZIP-level) locationGet directions
Mailing address
5932 Brand Ave
Saint Louis, MO 63135-3211
Registry dates
- Enumerated
- 2026-01-07
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.