SHAWNA LOUISE WALLACE

AUBURN, WA
NPI1992369029
Former NameSHAWNA LOUISE BASSHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00053254)
Enumeration Date2019-04-24
Last Update Date2019-04-24
Business Address
SHAWNA LOUISE WALLACE LPN
502 4TH ST NE
AUBURN, WA 98002-5020
Phone number: 253-931-4927
Mailing Address
SHAWNA LOUISE WALLACE LPN
502 4TH ST NE
AUBURN, WA 98002-5020
Phone number: 253-931-4927
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