Individual
SARAH FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MOUNTAIN VIEW DR, SHELTON, WA 98584-4401
(360) 426-1611
Mailing address
901 MOUNTAIN VIEW DR, SHELTON, WA 98584-4401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001229
WA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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