Individual
SHANNON MAUREEN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-5000
Mailing address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN61160146
WA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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