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Jenna Mae Dedeker Shoemaker
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
NPI 1174142327

Jenna Mae Dedeker Shoemaker is a Student in an Organized Health Care Education/Training Program based in Springfield, MA. Jenna Mae Dedeker Shoemaker practices in Springfield, MA. The NPI Number for Jenna Mae Dedeker Shoemaker is 1174142327 and holds a License No. (Massachusetts).

The current practice location address for Jenna Mae Dedeker Shoemaker is 759 Chestnut St # S5426, Springfield, MA and can be reached out via phone at 413-794-5999.

Location: 759 Chestnut St # S5426, Springfield, MA, 01199-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174142327
Provider Name
Jenna Mae Dedeker Shoemaker
Credential
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St # S5426, Springfield, MA, 01199-1001
Phone Number
413-794-5999
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
759 Chestnut St # S5426
City
Springfield
State
Massachusetts
Zip
01199-1405
Phone Number
413-794-5999
Fax Number
person
Provider Business Mailing Address Details
Address
759 Chestnut St # S5426
City
Springfield
State
Massachusetts
Zip
01199-1405
Phone Number
413-794-5999
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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