Individual
SHANNON R GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60231463
WA
164W00000X
Licensed Practical Nurse
LP60035753
WA
Other
Enumeration date
06/27/2011
Last updated
07/29/2011
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