Individual
DEANNA DENISE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
(253) 779-8665
Mailing address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
(253) 779-8665
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CM61551872
WA
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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