Individual
MRS. KRISTEN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5978 HIGHWAY 291 STE 2, NINE MILE FALLS, WA 99026-5105
(509) 934-1981
(509) 381-5925
Mailing address
5978 HIGHWAY 291 STE 2, NINE MILE FALLS, WA 99026-5105
(509) 934-1981
(509) 381-5925
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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