Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN SHANNON
Active Sole ProprietorJUSTIN SHANNON is a Adult Companion healthcare provider located in LAKEWOOD, Washington. NPI 1710344247 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · LAKEWOOD, WA
Registration Details
- NPI Number
- 1710344247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2016 (10.581427720727 yrs)
- Last Updated
- Jan 28, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
3106 84TH ST SLAKEWOOD, WA, 984998990Browse WA providers · Browse ZIP 98499
- Phone
- 2535887180
- Primary Specialty
-
Adult Companion
372600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.