Individual
SHONNA MERRYFIELD ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 C ST STE 200, VANCOUVER, WA 98660-3334
(971) 337-5401
Mailing address
801 C ST STE 200, VANCOUVER, WA 98660-3334
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
22006111
WA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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