Individual provider · Type 1 NPI

Shane L. Totten

Student in an Organized Health Care Education/Training Program · Medford, MA

NPI number 1043820764 Active

Practice location

19 Hamilton St
Medford, MA 02155-4207

Call (978) 257-2130 Map

Mailing address

56 Dimock St
Roxbury, MA 02119-1210

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 1043820764

Shane L. Totten's National Provider Identifier is 1043820764, issued on Aug 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Medford, MA. The record was last updated on Aug 6, 2020.