NPI 1043487069

Deeanne Renee Shaw, LMP

Practitioner Contractor Gig Harbor, WA

Practice location

Address: 7719 Swanson Dr NW, Gig Harbor, WA 98335-6439
Phone: (253) 377-4417

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00025200 (WA)

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Registry record

NPI: 1043487069
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2008
Record last updated: 8 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.