SHELLY MAE LUMMUS

EMMETT, ID
NPI1619707676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000111135)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
SHELLY MAE LUMMUS
207 E 12TH ST
EMMETT, ID 83617-3626
Phone number: 208-365-1065
Mailing Address
SHELLY MAE LUMMUS
207 E 12TH ST
EMMETT, ID 83617-3626
Phone number: 208-365-1065