Individual
BRANDON MICHAEL FUELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
171 WISHPOOSH RD APT 28, TOPPENISH, WA 98948-9744
(509) 865-7961
Mailing address
171 WISHPOOSH RD APT 28, TOPPENISH, WA 98948-9744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60657322
WA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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