Individual provider · Type 1 NPI

Shana Domonique Talbot, MD

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1033859129 Active

Practice location

101 Dudley St
Providence, RI 02905-2499

Call (917) 941-4392 Map

Mailing address

2347 Tiebout Ave Apt 5A
Bronx, NY 10458-7354

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1033859129

Shana Domonique Talbot, MD's National Provider Identifier is 1033859129, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Mar 29, 2022.