| Mistinique J Fuller, RN, LMP | |
|
1100 E Main St Ste A, Othello, WA 99344-1587 | |
| (509) 770-4067 | |
| Not Available |
| Full Name | Mistinique J Fuller |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Nurse Massage Therapist (nmt) |
| Location | 1100 E Main St Ste A, Othello, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457736944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | RN60154916 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mistinique J Fuller, RN, LMP 1968 W Muse Rd, Othello, WA 99344-9757 Ph: (509) 770-4067 | Mistinique J Fuller, RN, LMP 1100 E Main St Ste A, Othello, WA 99344-1587 Ph: (509) 770-4067 |
Laura Ely, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Kristen A. Mcculloch-stevens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 | |
Penny Rodriguez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2455 W Bench Rd, Othello, WA 99344 Phone: 509-989-2189 Fax: 509-488-3400 | |
Mrs. Brittney Dawn Marmolejo, LMP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 E Main St, Othello, WA 99344 Phone: 509-488-0797 Fax: 509-488-1123 | |
Virginia Alice Becker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 700, Othello, WA 99344 Phone: 509-488-2031 Fax: 509-633-1003 |