MISTINIQUE FULLER, RN, LMP

Registered Nurse - Nurse Massage Therapist (NMT)

Active Individual
NPI: 1457736944

Practice Address

1100 E MAIN ST STE A
Othello, WA 99344

Phone: (509) 770-4067

Specialties

Specialty Code Primary License
Registered Nurse - Nurse Massage Therapist (NMT) 163WM1400X Yes RN60154916 (WA)

Frequently Asked Questions

NPI 1457736944 is the National Provider Identifier for MISTINIQUE FULLER, RN, LMP, a Registered Nurse - Nurse Massage Therapist (NMT) provider located in Othello, WA. This NPI was enumerated on July 25, 2015.
MISTINIQUE FULLER, RN, LMP practices at 1100 E MAIN ST STE A, Othello, WA 99344.

Quick Facts

NPI
1457736944
Type
Individual
Enumerated
Jul 25, 2015
Last Updated
Oct 5, 2021

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