Anna Vitalevna Fomin
Anna Vitalevna Fomin is an Athletic Trainer in Otis Orchards, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5210 N Harvard RdOtis Orchards, WA 99027-9282
Phone: (509) 475-1551
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1801535588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | June 1, 2022 |
| Certification date | June 1, 2022 |