Individual
MS. SHALOMIE TOVYANA WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
111 BEVER GRADE ROAD, LAPWAI, ID 83540-8354
(208) 843-2271
Mailing address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-9408
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-2568
ID
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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