Search › California › 207YX0905X
Jennifer Fuller
NPI 1902149933 · on the registry since 2013
Practice
- Address
- 11234 Anderson St # 2586a
Loma Linda, CA 92354 - Phone
- (909) 558-7884
Registry record
- Primary taxonomy
- 207YX0905X
207YX0905X
- Also registered as
- 207Y00000X
- Licence states on file
- MN, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-10
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 California