Individual
REBEKAH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 UNIVERSITY PKWY, STE. 202, YAKIMA, WA 98901-1471
(509) 452-5100
Mailing address
111 UNIVERSITY PKWY, STE. 202, YAKIMA, WA 98901-1471
(509) 452-5100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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