Individual
SHELBI LEANNE DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 E E ST APT 3, MOSCOW, ID 83843-2670
(509) 904-2721
Mailing address
334 E E ST APT 3, MOSCOW, ID 83843-2670
(509) 904-2721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
ID
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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