Individual
SYLVIA LASHAWN TOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7300
(208) 828-3784
Mailing address
1635 CASTLE WAY, MOUNTAIN HOME, ID 83647-3732
(208) 587-7809
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH19389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH19389
DENTAL HYGIENE LICENSE NO
FL
Enumeration date
01/19/2007
Last updated
07/08/2007
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