Individual
JOY FULLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 E ROAD RUNNER DR, SHELTON, WA 98584-8517
(360) 596-7530
Mailing address
PO BOX 1995, SHELTON, WA 98584-5032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00130889
WA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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