Individual
ESSENCE UNIQUE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1692 EL CAMINO REAL, SAN CARLOS, CA 94070-5208
(650) 817-9070
(650) 817-9074
Mailing address
PO BOX 1329, SAN CARLOS, CA 94070-7329
(650) 817-9070
(650) 817-9074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/20/2026
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