Individual
PATRICK SHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23708 65TH AVENUE CT E, GRAHAM, WA 98338-7420
(801) 349-8621
Mailing address
23708 65TH AVENUE CT E, GRAHAM, WA 98338-7420
(801) 349-8621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L661441673
WA
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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