Individual
SHAWN M VAN DINGENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3209 S DEARBORN LN, SPOKANE, WA 99223-1535
(509) 862-9563
Mailing address
3011 E COLUMBIA AVE APT 4, SPOKANE, WA 99208-2342
(509) 862-9563
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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