MS. Marketa Fuller-President

NPI #1720789969 in Willoughby, Ohio

Provider Information

NPI Number: 1720789969
Entity Type: Individual
Name: MS. Marketa Fuller-President
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Mar 14, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 1021 WINDERMERE DR
City: Willoughby
State: Ohio
ZIP Code: 44094-7139
Phone: (216) 244-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary
Homemaker	376J00000X

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