Individual
SHANNON DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUBMARINE IDC
Contact information
Practice address
2150 THRESHER AVE, SILVERDALE, WA 98315-2103
(360) 396-6530
Mailing address
2150 THRESHER AVE, SILVERDALE, WA 98315-2103
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
11/27/2023
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