Individual
JANEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 S 336TH ST, FEDERAL WAY, WA 98003-6348
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAAR.CG.61674027
WA
101Y00000X
Counselor
Primary
—
—
183700000X
Pharmacy Technician
PTEC.VA.60260735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322778
—
WA
Enumeration date
04/09/2025
Last updated
08/14/2026
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