Individual
MRS. SHANNON LOU MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
24813 144TH PL SE, KENT, WA 98042-3423
(253) 880-7827
Mailing address
24813 144TH PL SE, KENT, WA 98042-3423
(253) 880-7827
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60444054
WA
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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