Individual
SHAWNASIE DONALD WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
WD
Contact information
Practice address
520 S TRINITY ST APT 101, FRESNO, CA 93706-1872
(559) 603-9734
Mailing address
520 S TRINITY ST APT 101, FRESNO, CA 93706-1872
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225600000X
Dance Therapist
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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