Individual
JENNIFER FULTZ FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
555 COLEMANS XING, MARYSVILLE, OH 43040-7042
(937) 642-9495
(937) 642-4590
Mailing address
5167 REDDINGTON DR, DUBLIN, OH 43017-8727
(614) 565-0159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4558T1301
OH
Other
Enumeration date
12/28/2006
Last updated
02/26/2016
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