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Mrs. Shantae Alicia Fyffe
Student in an Organized Health Care Education/Training Program in Bethel, Connecticut
NPI 1841833159

Shantae Alicia Fyffe is a Student in an Organized Health Care Education/Training Program based in Bethel, CT. Shantae Alicia Fyffe practices in Bethel, CT. The NPI Number for Shantae Alicia Fyffe is 1841833159 and holds a License No. (Connecticut).

The current practice location address for Shantae Alicia Fyffe is 36 Rockwell Rd, Bethel, CT and can be reached out via phone at 917-543-4521.

Location: 36 Rockwell Rd, Bethel, CT, 06801-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841833159
Provider Name
Shantae Alicia Fyffe
Credential
Provider Entity Type
Individual
Gender
Female
Address
36 Rockwell Rd, Bethel, CT, 06801-1607
Phone Number
917-543-4521
Fax Number
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36 Rockwell Rd
City
Bethel
State
Connecticut
Zip
06801-1607
Phone Number
917-543-4521
Fax Number
person
Provider Business Mailing Address Details
Address
36 Rockwell Rd
City
Bethel
State
Connecticut
Zip
06801-1607
Phone Number
917-543-4521
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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