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Individual

SHERENE N SHALHUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD60024720
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639288541
WA
Enumeration date
08/30/2006
Last updated
06/17/2013
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