Individual
MONIQUE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18560 1ST AVE NE, SHORELINE, WA 98155-2148
(206) 393-4122
Mailing address
18560 1ST AVE NE, SHORELINE, WA 98155-2148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60374379
WA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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