MARRISA L SHAW

PORT TOWNSEND, WA
NPI1740825819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  CO60925720)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
MARRISA L SHAW
884 W PARK AVE
PORT TOWNSEND, WA 98368-2273
Phone number: 360-385-0321
Mailing Address
MARRISA L SHAW
PO BOX 565
PORT TOWNSEND, WA 98368-0565
Phone number: 360-385-0321
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