Individual
SHANNON LEIGH LATENDRESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2213 NW 23RD AVE, CAMAS, WA 98607-9300
(202) 809-0532
Mailing address
2213 NW 23RD AVE, CAMAS, WA 98607-9300
(202) 809-0532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60321930
WA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN60321931
WA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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