Individual
MRS. NICOLE ELIZABETH FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2913 5TH AVE NE STE 101, PUYALLUP, WA 98372-6748
(855) 255-1750
Mailing address
2913 5TH AVE NE STE 101, PUYALLUP, WA 98372-6748
(855) 255-1750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
07/19/2022
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