Marrisa L Shaw Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Port Townsend, WA

NPI

1740825819

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

License number

CO60925720 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2019-11-13

Last updated

2019-11-13