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Shanice Pullen
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1649640418

Shanice Pullen is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Shanice Pullen practices in Brockton, MA. The NPI Number for Shanice Pullen is 1649640418 and holds a License No. (Massachusetts).

The current practice location address for Shanice Pullen is 41 Linnea Ave, Brockton, MA and can be reached out via phone at 617-840-0717.

Location: 41 Linnea Ave, Brockton, MA, 02301-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649640418
Provider Name
Shanice Pullen
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Linnea Ave, Brockton, MA, 02301-6425
Phone Number
617-840-0717
Fax Number
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Linnea Ave
City
Brockton
State
Massachusetts
Zip
02301-6425
Phone Number
617-840-0717
Fax Number
person
Provider Business Mailing Address Details
Address
41 Linnea Ave
City
Brockton
State
Massachusetts
Zip
02301-6425
Phone Number
617-840-0717
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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