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Mr. Shane L Totten
Student in an Organized Health Care Education/Training Program in Medford, Massachusetts
NPI 1043820764

Shane L Totten is a Student in an Organized Health Care Education/Training Program based in Roxbury, MA. Shane L Totten practices in Medford, MA. The NPI Number for Shane L Totten is 1043820764 and holds a License No. (Massachusetts).

The current practice location address for Shane L Totten is 19 Hamilton St, Medford, MA and can be reached out via phone at 978-257-2130. You can also correspond with Shane L Totten through the mailing address at 56 DIMOCK ST, ROXBURY, MA - 02119-1210 (mailing address contact number: 617-318-3504).

Location: 19 Hamilton St, Medford, MA, 02119-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043820764
Provider Name
Shane L Totten
Credential
Provider Entity Type
Individual
Gender
Male
Address
19 Hamilton St, Medford, MA, 02119-1210
Phone Number
978-257-2130
Fax Number
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Hamilton St
City
Medford
State
Massachusetts
Zip
02155-4207
Phone Number
978-257-2130
Fax Number
person
Provider Business Mailing Address Details
Address
56 Dimock St
City
Roxbury
State
Massachusetts
Zip
02119-1210
Phone Number
617-318-3504
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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