Individual
MRS. SU-YONG FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 AUBURN AVE, AUBURN, WA 98002-5015
(800) 440-3305
(866) 369-4424
Mailing address
922 66TH AVE E, FIFE, WA 98424-1445
(253) 831-4910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61178626
WA
Other
Enumeration date
10/21/2022
Last updated
02/19/2023
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