Individual
SHANNON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60780735
WA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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