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Malisa Shellman
NPI 1891530564 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9500 Front St S Ste 100
Lakewood, WA 98499 - Phone
- (253) 393-2483
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-05
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