Individual
SHYANNE LOMAYAKTEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
167 N MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, PFS BUSINESS OFFICE, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
04626
AZ
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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