Individual
SHANNON DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7622 PONDEROSA PNE, BOERNE, TX 78015-5138
(614) 949-8926
Mailing address
7622 PONDEROSA PNE, BOERNE, TX 78015-5138
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
05/17/2026
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