Individual
SHANNON ISABELLE VAJRETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
5755 RED LEAF DR S APT 110, SALEM, OR 97306-3019
(408) 529-3487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
10/02/2021
Last updated
10/28/2024
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