Individual
SHARMA KAE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
4701 NE 72ND AVE APT N167, VANCOUVER, WA 98661-8192
(360) 558-8660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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