SHANNON MICHELLE INGRUM

ARLINGTON, WA
NPI1265791750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00016813)
Enumeration Date2012-05-03
Last Update Date2012-05-03
Business Address
Ms. SHANNON MICHELLE INGRUM lmp
6210 209TH ST NE
ARLINGTON, WA 98223-4253
Phone number: 360-631-9955
Mailing Address
Ms. SHANNON MICHELLE INGRUM lmp
6210 209TH ST NE
ARLINGTON, WA 98223-4253
Phone number: 360-631-9955