Search › California › 101YA0400X
Jacqueline Fuller
NPI 1285928523 · on the registry since 2011 · sole proprietor
Practice
- Address
- 160 E Holt Ave
Pomona, CA 91767 - Phone
- (909) 620-2521
- Organisation at this address
- Ettie Lee Homes, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 105
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Female
- Record last updated
- 2011-06-03
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