Jalisa Fuller
Jalisa Fuller is a Driver in Bossier City, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
1621 Williamsburg DrBossier City, LA 71112-3165
Phone: (318) 730-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 009494849 (LA) |
|---|
Record details
| NPI number | 1982270088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 28, 2021 |
| Last updated in NPPES | May 28, 2021 |
| Certification date | May 28, 2021 |
| Mailing address | 1621 Williamsburg Dr, Bossier City, LA 71112-3165 |
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