Individual
MRS. SHANNON JOY PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
11334 MERIDIAN AVE N, UPPER, SEATTLE, WA 98133-8543
(206) 818-8041
Mailing address
11334 MERIDIAN AVE N, UPPER, SEATTLE, WA 98133-8543
(206) 818-8041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211058
LNI PROVIDER NUMBER
WA
Enumeration date
03/28/2007
Last updated
08/06/2010
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