MEDICARE: MRS. MOLLIE ANN FONCECA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00024274	WA

General Provider Information

NPI Number	:	1649479437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MOLLIE ANN FONCECA

Provider Business Mailing Address
First Line	:	815 103RD DR SE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-9458
Country	:	US
Telephone Number	:	425-334-9287
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 103RD DR SE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-9458
Country	:	US
Telephone Number	:	425-334-9287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

Similar Medicare Providers

1326005646 — MR. JONATHAN P HENKE PAC, MPH
Practice Location Address:

402 KARL RD NE
MOSES LAKE, WA
98837-9458

Practice Phone: 509-707-3317
Practice Fax:

1225076854 — WHEATLAND HEALTH CLINIC LLC
Practice Location Address:

224 W RAILROAD ST
SILVER LAKE, KS
66539-9458

Practice Phone: 785-582-5400
Practice Fax: 785-582-5406

1679837223 — BARBARA E TOLBERT BARBARA TOLBERT MED
Practice Location Address:

5746 EAST LN
LAKE VIEW, NY
14085-9458

Practice Phone: 716-627-9020
Practice Fax:

1720458698 — LASHES & MASSAGE LLC
Practice Location Address:

18223 9TH ST E STE B
LAKE TAPPS, WA
98391-9458

Practice Phone: 253-343-8118
Practice Fax:

1386630820 — VICTORIA ANN BAKER-HALL M.D.
Practice Location Address:

615 W STEVENS AVE
SULTAN, WA
98294-9458

Practice Phone: 360-793-0201
Practice Fax: 360-793-2429

1447246665 — DR. MARK STEVEN RANEY D.O.
Practice Location Address:

615 W STEVENS AVE
SULTAN, WA
98294-9458

Practice Phone: 360-793-0201
Practice Fax: 360-793-2429

Directions to “ MRS. MOLLIE ANN FONCECA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.