BRIANA AMBER SHACKLEY

EMMETT, ID
NPI1932963295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  dh-4447)
Enumeration Date2024-02-07
Last Update Date2024-02-07
Business Address
BRIANA AMBER SHACKLEY RDH
1020 E LOCUST ST
EMMETT, ID 83617-2776
Phone number: 208-365-5064
Mailing Address
BRIANA AMBER SHACKLEY RDH
12671 W ENDSLEY LN
STAR, ID 83669-1019
Phone number: 208-608-6329