Individual
COLLEEN JOY FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7332 73RD ST NE, MARYSVILLE, WA 98270-7762
(425) 418-5182
Mailing address
7332 73RD ST NE, MARYSVILLE, WA 98270-7762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60140296
WA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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