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Individual
MRS. SHAVONNE C TONNES
Active
Individual
MRS. SHAVONNE C TONNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195262
DEPT OF LABOR INDUSTRY
WA
01
—
7340T0
ROGENCE BLUE SHIELD
—
05
—
8422560
—
WA
01
—
P00206112
RAIL ROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
07/08/2007
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