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Shannon Renee Dorton
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1477058451

Shannon Renee Dorton is a Student in an Organized Health Care Education/Training Program based in Richmond, CA. Shannon Renee Dorton practices in Modesto, CA. The NPI Number for Shannon Renee Dorton is 1477058451 and holds a License No. (California).

The current practice location address for Shannon Renee Dorton is 1400 Florida Ave, Modesto, CA and can be reached out via phone at 209-576-3528.

Location: 1400 Florida Ave, Modesto, CA, 94803-3884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477058451
Provider Name
Shannon Renee Dorton
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Florida Ave, Modesto, CA, 94803-3884
Phone Number
209-576-3528
Fax Number
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave
City
Modesto
State
California
Zip
95350-4422
Phone Number
209-576-3528
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Florida Ave
City
Modesto
State
California
Zip
95350-4422
Phone Number
209-576-3528
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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