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Individual

DR. MOLLY MARIE FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4800 SAND POINT WAY NE, M/S OB.8.410, SEATTLE, WA 98105-3901
(206) 987-2114
Mailing address
4800 SAND POINT WAY NE, M/S OB.8.410, SEATTLE, WA 98105-3901
(206) 987-2114

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
60161505
WA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
60161505
WA

Other

Enumeration date
07/18/2008
Last updated
08/11/2014
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