DR. Jacqueline L Fullerton, D.C.

NPI #1013108257 in Brandon, Florida

Provider Information

NPI Number
1013108257
Entity Type
Individual
Name
DR. Jacqueline L Fullerton, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
409 W BLOOMINGDALE AVE
State
Florida
ZIP Code
33511-7401
Phone
(813) 689-1883

Specialties & Taxonomy Codes

Specialty
Chiropractor

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