Individual
SHANNON MITCHELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1418 NW 136TH ST, VANCOUVER, WA 98685-1686
(360) 921-9421
Mailing address
1418 NW 136TH ST, VANCOUVER, WA 98685-1686
(360) 921-9421
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00175787
WA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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