Individual
SANDRA RUTH SHOVLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
909 5TH ST, STEILACOOM, WA 98388-1807
(253) 507-4367
(253) 507-8330
Mailing address
P.O. BOX 88638, STEILACOOM, WA 98388
(253) 507-4367
(253) 507-8330
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN00071615
WA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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