MARTIA JERONDA FULLER

CHARLOTTE, NC
NPI1780150011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: NC  A14117)
Enumeration Date2018-10-14
Last Update Date2020-01-03
Business Address
MARTIA JERONDA FULLER
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262-8700
Phone number: 704-208-4458
Mailing Address
MARTIA JERONDA FULLER
204 SYCAMORE ST
OXFORD, NC 27565-3625
Phone number: 919-339-0649