NPI 1710344247
Justin Shannon
Practice location
- Address
- 3106 84th St S, Lakewood, WA 98499-8990
- Phone
- (253) 588-7180
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1710344247
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jan 2016
- Record last updated
- 28 Jan 2016
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.