Individual
MRS. SHANNON DORAN FENSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
11801 NE 158TH ST, BOTHELL, WA 98011-4138
(206) 491-3008
Mailing address
11801 NE 158TH ST, BOTHELL, WA 98011-4138
(206) 491-3008
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU00001751
WA
133NN1002X
Nutrition Education Nutritionist
NU00001751
WA
Other
Enumeration date
06/15/2007
Last updated
01/26/2022
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