MS. Carolyn Starr Fullmer, PAC
NPI #1275686669 in Chewelah, Washington
Provider Information
- NPI Number
- 1275686669
- Entity Type
- Individual
- Name
- MS. Carolyn Starr Fullmer, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 410 E KING ST
- City
- Chewelah
- State
- Washington
- ZIP Code
- 99109-0137
- Phone
- (509) 935-8711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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