Individual
CAMERON SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 MADISON AVE N STE 102, BAINBRIDGE ISLAND, WA 98110-1769
(206) 855-0955
Mailing address
840 MADISON AVE SUITE 102, 2068550955, WA 98110
(206) 855-0955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60334924
WA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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