Individual
KERILYN SHIGIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
2504 S CHICAGO ST, FAIRCHILD AFB, WA 99011-8548
(509) 247-5414
(509) 247-3543
Mailing address
2504 S CHICAGO, FAIRCHILD AFB, WA 99011
(509) 247-5414
(509) 247-3543
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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