SHANE SUE WHITEHEAD

SEATTLE, WA
NPI1073260600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61450508)
Enumeration Date2022-03-03
Last Update Date2023-08-07
Business Address
SHANE SUE WHITEHEAD
5801 SAND POINT WAY NE
SEATTLE, WA 98105-2147
Phone number: 206-987-4585
Mailing Address
SHANE SUE WHITEHEAD
7015 25TH AVE NE
SEATTLE, WA 98115-5811
Phone number: 314-435-5954
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