Individual
JALEYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 BALLAST TRL, WINDER, GA 30680-6305
(470) 416-9377
Mailing address
204 BALLAST TRL, WINDER, GA 30680-6305
(470) 416-9377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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