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Individual

MARTHA JANE SHANAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CD

Contact information

Practice address
126 AUBURN AVE, SUITE 400, AUBURN, WA 98002-5057
(206) 205-6808
Mailing address
2372 FRANKLIN AVE E, APT A, SEATTLE, WA 98102-3330
(206) 399-0140

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001835
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8457459
WA
Enumeration date
11/20/2006
Last updated
07/09/2007
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