Individual
SHAINA LEEANN LONAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 5TH ST, WILDER, ID 83676-5540
(208) 482-7430
Mailing address
911 7TH ST S, NAMPA, ID 83651-4121
(509) 288-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53665
ID
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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