Mistinique J Fuller, RN, LMP
NPI #1457736944 in Othello, Washington
Provider Information
- NPI Number
- 1457736944
- Entity Type
- Individual
- Name
- Mistinique J Fuller, RN, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Nurse Massage Therapist (NMT)
- Credential
- RN, LMP
- Enumeration Date
- Jul 25, 2015
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 1100 E MAIN ST STE A
- City
- Othello
- State
- Washington
- ZIP Code
- 99344-1587
- Phone
- (509) 770-4067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Nurse Massage Therapist (NMT) — Nurse Massage Therapist (NMT) |
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