Search › Washington › 104100000X
Shaelyn Broussard
NPI 1770051583 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1710 Plaza Way
Walla Walla, WA 99362 - Phone
- (509) 529-4218
- Organisation at this address
- Manor Park Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2018-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington