Individual
JODI FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6250 PARK BLVD N, PINELLAS PARK, FL 33781-3237
(727) 541-2520
Mailing address
6250 PARK BLVD N, PINELLAS PARK, FL 33781-3237
(727) 541-2520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90282
FL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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