Individual
MRS. BRYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
1101 MADISON ST STE 800, SEATTLE, WA 98104-1307
(206) 316-3083
Mailing address
994 56TH ST APT 8, OAKLAND, CA 94608-3132
(206) 310-7369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160860096
WA
Other
Enumeration date
10/20/2016
Last updated
11/13/2018
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