Alissa Marie Fulton LMP

NPI 1780948117 - Specialist - 174400000X

NPI Details
NPI 1780948117
Gender Female
Enumeration Date 06/29/2012
Last Updated 06/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
30662 CUBBY SPARKS PL NE
KINGSTON WA, 98346-9720, US
Phone (360) 731-6764
Fax
Business Location
30662 CUBBY SPARKS PL NE
KINGSTON WA, 98346-9720, US
Phone (360) 731-6764
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA 60201098
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According to our database, Mrs. Alissa Marie Fulton LMP NPI is 1780948117, taxonomy code is 174400000X and license number is MA 60201098, license state is located at Washington. Alissa Marie Fulton LMP physically located at 30662 Cubby Sparks Pl Ne, Kingston WA, 98346-9720. NPI Number Alissa Marie Fulton LMP has the Individual type.

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1780948117 NPI number is provided on an as is basis without warranty of any kind. 1780948117 is maintained by the National Plan & Provider Enumeration System. The contents of Alissa Marie Fulton LMP are for informational purposes only.