Individual
REGGI SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19909 BALLINGER WAY NE, SUITE 100, SHORELINE, WA 98155-1222
(206) 271-2475
Mailing address
19909 BALLINGER WAY NE, SUITE 100, SHORELINE, WA 98155-1222
(206) 271-2475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00019961
WA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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