Individual
SHAVONNE R HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSDH, RDH
Contact information
Practice address
4005 9TH ST NE APT 3, WASHINGTON, DC 20017-3704
(781) 244-0139
Mailing address
4005 9TH ST NE APT 3, WASHINGTON, DC 20017-3704
(781) 244-0139
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
7760
MD
124Q00000X
Dental Hygienist
Primary
HYG1000648
DC
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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