Individual
MARY ELLEN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6760 MISSION RD, EVERSON, WA 98247-9749
(360) 966-2106
(360) 966-2304
Mailing address
6760 MISSION RD, EVERSON, WA 98247-9749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00017067
WA
Other
Enumeration date
01/08/2007
Last updated
03/31/2021
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