Mollie Ann Fonceca

NPI 1649479437 - Massage Therapist - 225700000X

NPI Details
NPI 1649479437
Gender Female
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
815 103RD DR SE
LAKE STEVENS WA, 98258-9458, US
Phone (425) 334-9287
Fax
Business Location
815 103RD DR SE
LAKE STEVENS WA, 98258-9458, US
Phone (425) 334-9287
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00024274
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According to our database, Mrs. Mollie Ann Fonceca NPI is 1649479437, taxonomy code is 225700000X and license number is MA00024274, license state is located at Washington. Mollie Ann Fonceca physically located at 815 103rd Dr Se, Lake Stevens WA, 98258-9458. NPI Number Mollie Ann Fonceca has the Individual type.

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1649479437 NPI number is provided on an as is basis without warranty of any kind. 1649479437 is maintained by the National Plan & Provider Enumeration System. The contents of Mollie Ann Fonceca are for informational purposes only.