Individual
MARYAN SHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 WASHINGTON AVE S, KENT, WA 98032-5709
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60658070
WA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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