Marrisa L Shaw

NPI #1740825819 in Port Townsend, Washington

Provider Information

NPI Number: 1740825819
Entity Type: Individual
Name: Marrisa L Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 884 W PARK AVE
City: Port Townsend
State: Washington
ZIP Code: 98368-2273
Phone: (360) 385-0321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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