Individual
SHANE HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16600 25TH AVE NE UNIT 145, MARYSVILLE, WA 98271-4714
(360) 813-8820
Mailing address
16600 25TH AVE NE UNIT 145, MARYSVILLE, WA 98271-4714
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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