Individual
ALISHA NELOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 MIL PARK AVE, FORT LEWIS, WA 98433
(253) 966-9960
Mailing address
FULTON DENTAL CLINIC, BLDG 9119 MIL PARK AVE, JBLM, WA 98433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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