Individual
JESSICA DIANE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8767 SEABRIGHT DR, POWELL, OH 43065-9574
(614) 301-7610
Mailing address
8767 SEABRIGHT DR, POWELL, OH 43065-9574
(614) 301-7610
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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