Search › Arizona › 163WS0200X
Jennifer Fuller
NPI 1790150084 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9618 N 36th St
Phoenix, AZ 85028 - Phone
- (480) 466-6699
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-11
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 Arizona