Diana Gurshumova

NPI #1255190252 in Quincy, Massachusetts

Provider Information

NPI Number: 1255190252
Entity Type: Individual
Name: Diana Gurshumova
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 13, 2024
Last Updated: Oct 1, 2024

Practice Location

Address: 285 HANCOCK ST APT 1436
City: Quincy
State: Massachusetts
ZIP Code: 02171-2482
Phone: (917) 861-5554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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