Individual
ABIGAIL FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 PEAR ST SE, TUMWATER, WA 98501-4175
(360) 485-2810
Mailing address
3501 PEAR ST SE, TUMWATER, WA 98501-4175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61286307
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
08/24/2022
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