Individual
MRS. SHAWNA RENEE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
110 SOUTH 2ND STREET, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Mailing address
110 SOUTH 2ND STREET, PO BOX 157, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2003015251
MO
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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