Female

Shannon C. Fuller LMP

Specialist in Bellingham, WA(View on Map)

Full Name

Shannon C Fuller LMP

NPI Number

1194853036

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/01/2007

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MA00017407

Contact
Information

Purpose

Mailing
Location

Address

120 PROSPECT ST STE 1
120 PROSPECT ST STE 1

City

Bellingham
Bellingham

State

WA
WA

Postal Code

98225-4428
98225-4428

Country

US
US

Telephone Number

(360) 303-8961
(360) 303-8961

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/16/2014

Provider Address

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