Individual
SHANNON JEANNE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1037 NE 65TH ST., #108, SEATTLE, WA 98115
(206) 519-9827
Mailing address
1037 NE 65TH ST., #108, SEATTLE, WA 98115
(206) 519-9827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60274064
WA
Other
Enumeration date
01/01/2013
Last updated
10/12/2015
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