Shannell Renia Anderson

NPI #1194363010 in Dorchester, Massachusetts

Provider Information

NPI Number: 1194363010
Entity Type: Individual
Name: Shannell Renia Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 11, 2019
Last Updated: Dec 11, 2019

Practice Location

Address: 50 REDFIELD ST STE 300
City: Dorchester
State: Massachusetts
ZIP Code: 02122-3653
Phone: (781) 540-4227

Specialties & Taxonomy Codes

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

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