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Shelly Humphreys
NPI 1467113423 · on the registry since 2022 · sole proprietor
Practice
- Address
- 331 S Main St
Soda Springs, ID 83276 - Phone
- (208) 530-0326
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho