All Medicaid billing entities listing FULLER, STACI (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $26.12 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KINGDOM CARE TRANSPORTATION LLC | HENRICO, VA | Non-emergency Medical Transport (VAN) | $26.12 |