Shonda Gannon
NPI #1386255057 in Walla Walla, Washington
Provider Information
- NPI Number
- 1386255057
- Entity Type
- Individual
- Name
- Shonda Gannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 14, 2020
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 1520 KELLY PL STE 234
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-8607
- Phone
- (509) 575-4084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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