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Shannon Fiodorovas
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1972186500

Shannon Fiodorovas is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Shannon Fiodorovas practices in Warren, MI. The NPI Number for Shannon Fiodorovas is 1972186500 and holds a License No. (Michigan).

The current practice location address for Shannon Fiodorovas is 3836 Lesia Dr, Warren, MI and can be reached out via phone at 734-770-3420.

Location: 3836 Lesia Dr, Warren, MI, 48091-6515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972186500
Provider Name
Shannon Fiodorovas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3836 Lesia Dr, Warren, MI, 48091-6515
Phone Number
734-770-3420
Fax Number
Provider Enumeration Date
05/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3836 Lesia Dr
City
Warren
State
Michigan
Zip
48091-6515
Phone Number
734-770-3420
Fax Number
person
Provider Business Mailing Address Details
Address
3836 Lesia Dr
City
Warren
State
Michigan
Zip
48091-6515
Phone Number
734-770-3420
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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