Jerry Wallace Fulford is a massage therapist in Capitola, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jerry Wallace Fulford NPI is 1427547355. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4170 GROSS RD. EXTENSION
SUITE 6
CAPITOLA, CA
ZIP 95010
Phone: (831) 464-1605
The enumeration date for this NPI number is 5/7/2018 and was last updated on 5/7/2018.