Individual
SHAUNA RAE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7011
Mailing address
2553 W 1770 S, SYRACUSE, UT 84075-7018
(801) 628-1025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
276608-9920
UT
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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