Shawna Louise Wallace, LPN | |
502 4th St Ne, Auburn, WA 98002-5020 | |
(253) 931-4927 | |
Not Available |
Full Name | Shawna Louise Wallace |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 502 4th St Ne, Auburn, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992369029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP00053254 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Shawna Louise Wallace, LPN 502 4th St Ne, Auburn, WA 98002-5020 Ph: (253) 931-4927 | Shawna Louise Wallace, LPN 502 4th St Ne, Auburn, WA 98002-5020 Ph: (253) 931-4927 |
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