Individual
FATOUMATA B DOELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
408 213TH ST SW, BOTHELL, WA 98021-7581
(425) 273-3461
Mailing address
408 213TH ST SW, BOTHELL, WA 98021-7581
(425) 273-3461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60242136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4252733461
—
WA
Enumeration date
05/25/2022
Last updated
05/25/2022
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