Shannon Botelho
NPI #1942560107 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1942560107
- Entity Type
- Individual
- Name
- Shannon Botelho
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- May 22, 2012
- Last Updated
- May 22, 2012
Practice Location
- Address
- 389 COUNTY ST
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02740-4995
- Phone
- (508) 997-1570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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