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Miss Alyssa Ann Shock, DOCTORALSTUDENT
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
NPI 1073174371

Alyssa Ann Shock is a Student in an Organized Health Care Education/Training Program based in Dumont, MA. Alyssa Ann Shock practices in Springfield, MA and has the professional credentials of DOCTORALSTUDENT. The NPI Number for Alyssa Ann Shock is 1073174371 and holds a License No. (Massachusetts).

The current practice location address for Alyssa Ann Shock is 1695 Main St, Springfield, MA and can be reached out via phone at 413-739-5572.

Location: 1695 Main St, Springfield, MA, 07628-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073174371
Provider Name
Alyssa Ann Shock
Credential
DOCTORALSTUDENT
Provider Entity Type
Individual
Gender
Female
Address
1695 Main St, Springfield, MA, 07628-2425
Phone Number
413-739-5572
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1695 Main St
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
413-739-5572
Fax Number
person
Provider Business Mailing Address Details
Address
1695 Main St
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
413-739-5572
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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