Individual provider · Type 1 NPI
Diana Gurshumova
Student in an Organized Health Care Education/Training Program · Quincy, MA
NPI number
1255190252
Active
Practice location
285 Hancock St Apt 1436
Quincy, MA 02171-2482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 22DI03065100 (NJ) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1255190252
Diana Gurshumova's National Provider Identifier is 1255190252, issued on Mar 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Quincy, MA. The record was last updated on Oct 1, 2024.