Fuller, Mistinique J
Fuller, Mistinique J is an individual health care provider with primary practice located at 1100 E Main St Ste A , Othello WA 99344-1587. She recently has only one registered license in Nursing Service Providers / Nurse Massage Therapist (NMT), which is considered as her primary health care specialty. Fuller, Mistinique J can be contacted via phone (509) 770-4067.Contact Information
Primary practice address
1100 E Main St Ste A
Othello WA 99344-1587
Phone: (509) 770-4067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Nurse Massage Therapist (NMT) | 163WM1400X | RN60154916 | Washington |
Profile Details
| NPI number | 1457736944 |
|---|---|
| LBN Legal business name | Fuller, Mistinique J |
| Credentials | RN, LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2015 |
| Last updated | Oct 5th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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