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Jennifer Carroll Fuller
Otolaryngology/Facial Plastic Surgery Physician in Loma Linda, California
NPI 1902149933

Jennifer Carroll Fuller is a Otolaryngology/Facial Plastic Surgery Physician based in Loma Linda, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Jennifer Carroll Fuller practices in Loma Linda, CA. The NPI Number for Jennifer Carroll Fuller is 1902149933 and holds a License No. 63479 (California).

The current practice location address for Jennifer Carroll Fuller is 11234 Anderson St # 2586A, Loma Linda, CA and can be reached out via phone at 909-558-7884. You can also correspond with Jennifer Carroll Fuller through the mailing address at 11234 ANDERSON ST # 2586A, LOMA LINDA, CA - 92354-2804 (mailing address contact number: 909-558-7884).

Location: 11234 Anderson St # 2586A, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902149933
Provider Name
Jennifer Carroll Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
11234 Anderson St # 2586A, Loma Linda, CA, 92354-2804
Phone Number
909-558-7884
Fax Number
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St # 2586A
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-7884
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St # 2586A
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-7884
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
A160366 (California)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
63479 (Minnesota)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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