Individual
ANDREA FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 4TH AVE, SEATTLE, WA 98101-1607
(206) 624-1370
Mailing address
9515 NE 180TH ST APT C204, BOTHELL, WA 98011-7907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60165178
WA
Other
Enumeration date
04/05/2013
Last updated
12/02/2013
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