Provider Demographics
NPI:1023156171
Name:FRITTS, ANN MARIE (LAC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:FRITTS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:JOYCE
Mailing Address - State:WA
Mailing Address - Zip Code:98343-0034
Mailing Address - Country:US
Mailing Address - Phone:360-477-3949
Mailing Address - Fax:
Practice Address - Street 1:603 E 8TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6251
Practice Address - Country:US
Practice Address - Phone:360-477-3949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002571171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist