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Mikhael Fuller, MA

NPI 1417551409 · on the registry since 2020 · sole proprietor

Practice

Address
3002 Main St
Vancouver, WA 98663
Phone
(925) 403-1737

Additional practice sites

  • 954 Risa Rd Ste A, Lafayette, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington