MRS. Alissa Marie Fulton, LMP

NPI #1780948117 in Kingston, Washington

Provider Information

NPI Number: 1780948117
Entity Type: Individual
Name: MRS. Alissa Marie Fulton, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jun 29, 2012
Last Updated: Jun 29, 2012

Practice Location

Address: 30662 CUBBY SPARKS PL NE
City: Kingston
State: Washington
ZIP Code: 98346-9720
Phone: (360) 731-6764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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