MISS Alyssa Ann Shock, DOCTORAL STUDENT

NPI #1073174371 in Springfield, Massachusetts

Provider Information

NPI Number: 1073174371
Entity Type: Individual
Name: MISS Alyssa Ann Shock, DOCTORAL STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DOCTORAL STUDENT
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 1695 MAIN ST
Address 2: SUITE 400
City: Springfield
State: Massachusetts
ZIP Code: 01103-1063
Phone: (413) 739-5572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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