SHANNON MICHELLE STETZ

BOISE, ID
NPI1962956904
Former NameSHANNON MICHELLE SCHRITTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH2281)
Additional Taxonomies124Q00000X Dental Hygienist
(Licence: OR  D5980)
Enumeration Date2016-08-08
Last Update Date2022-06-10
Business Address
Mrs. SHANNON MICHELLE STETZ RDH
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Mrs. SHANNON MICHELLE STETZ RDH
10530 W STARDUST DR
BOISE, ID 83709-0367
Phone number: 208-406-7440