Shannon Reitan

NPI #1356797484 in Friday Harbor, Washington

Provider Information

NPI Number
1356797484
Entity Type
Organization
Organization Name
Shannon Reitan
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 7, 2016
Last Updated
May 7, 2016

Practice Location

Address
520 SPRING ST
ZIP Code
98250-8057
Phone
(817) 637-4425

Authorized Official

Name
SHANNON REITAN
Title
SELF
Phone
(817) 637-4425

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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