person
John Mahan
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1902598634

John Mahan is a Student in an Organized Health Care Education/Training Program based in Providence, RI. John Mahan practices in Providence, RI. The NPI Number for John Mahan is 1902598634 and holds a License No. CLP05918 (Rhode Island).

The current practice location address for John Mahan is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-5057.

Location: 593 Eddy St, Providence, RI, 02903-4923
person
Provider Profile Details
NPI Number
1902598634
Provider Name
John Mahan
Credential
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-5057
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5057
Fax Number
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5057
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
CLP05918 (Rhode Island)
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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