# MRS. SHAVONNE C TONNES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881603496
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10004725 | WA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 07/08/2007

## 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 | — |