Individual
SHANNON DEMITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
24928 OLD PIPELINE RD, MONROE, WA 98272-9681
(253) 350-5123
Mailing address
24928 OLD PIPELINE RD, MONROE, WA 98272-9681
(253) 350-5123
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L109189
WA
Other
Enumeration date
01/30/2020
Last updated
01/31/2020
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