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Individual

ANNE MARIE FOMBU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15015 MAIN ST, SUITE #109, BELLEVUE, WA 98007
(509) 824-6978
(509) 824-6961
Mailing address
15015 MAIN ST SUITE 109, BELLEVUE, WA 98007
(206) 575-0300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60860845
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61138151
WA

Other

Enumeration date
01/05/2021
Last updated
02/26/2025
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