Individual
MRS. CONNIE SHRYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1110
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1931
(208) 686-1336
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1856
ID
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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