Reggi Shelley, LMP

NPI #1063623528 in Shoreline, Washington

Provider Information

NPI Number: 1063623528
Entity Type: Individual
Name: Reggi Shelley, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19909 BALLINGER WAY NE
Address 2: SUITE 100
City: Shoreline
State: Washington
ZIP Code: 98155-1222
Phone: (206) 271-2475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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