SearchWashington235Z00000X

Shannon Carroll

NPI 1912251273 · on the registry since 2012 · sole proprietor

Practice

Address
7719 224th St E
Graham, WA 98338
Phone
(253) 683-8800

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-07

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