Individual
SHANNON FOSTER VITONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19245 7TH AVE NE, POULSBO, WA 98370-6551
(360) 782-3501
(360) 782-3540
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP61105800
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
02/15/2022
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