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
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258-9458
- Phone
- (425) 334-9287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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