MEDICARE: SHELBIE TOYAMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1588950943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBIE TOYAMA

Provider Business Mailing Address
First Line	:	8610 S MARYLAND PKWY
Second Line	:	#2131
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2709
Country	:	US
Telephone Number	:	808-224-3776
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 S MARYLAND PKWY
Second Line	:	#2131
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2709
Country	:	US
Telephone Number	:	808-224-3776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	06/23/2011

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Directions to “ SHELBIE TOYAMA ” Practice Location

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