MRS. Mollie Ann Fonceca

NPI #1649479437 in Lake Stevens, Washington

Provider Information

NPI Number
1649479437
Entity Type
Individual
Name
MRS. Mollie Ann Fonceca
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Jul 12, 2007
Last Updated
Jul 12, 2007

Practice Location

Address
815 103RD DR SE
ZIP Code
98258-9458
Phone
(425) 334-9287

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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