Individual
SHANNA RENEE DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
8274 BIRMINGHAM RD, MELBA, ID 83641-4210
(208) 896-5889
Mailing address
8274 BIRMINGHAM RD, MELBA, ID 83641-4210
(208) 896-5889
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
ID
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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