Individual
DR. SHANNA E FREDERICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2419 NW MARKET ST, SEATTLE, WA 98107-4138
(206) 297-2792
Mailing address
2419 NW MARKET ST, SEATTLE, WA 98107-4138
(563) 271-8405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034593
WA
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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