Justin Shannon
Justin Shannon is an Adult Companion in Lakewood, Washington. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
3106 84th St SLakewood, WA 98499-8990
Phone: (253) 588-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1710344247 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 28, 2016 |
| Last updated in NPPES | January 28, 2016 |
| Mailing address | 3106 84th St S, Lakewood, WA 98499-8990 |