Individual provider · Type 1 NPI

Shannon Renee Dorton

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1477058451 Active

Practice location

1400 Florida Ave
Modesto, CA 95350-4422

Call (209) 576-3528 Map

Mailing address

5407 Brookwood Ln
Richmond, CA 94803-3884

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 1477058451

Shannon Renee Dorton's National Provider Identifier is 1477058451, issued on Mar 29, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Dec 20, 2021.