JENNIFER ANN FULLER

SOUTH LAKE TAHOE, CA
NPI1700682341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  129874)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2025-02-24
Last Update Date2025-04-28
Business Address
JENNIFER ANN FULLER
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150-7976
Phone number: 530-721-2664
Mailing Address
JENNIFER ANN FULLER
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150-7976
Phone number: 916-783-5208