Individual provider · Type 1 NPI
Shaneka Victor
Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI number
1588299028
Active
Practice location
1526 E Baltimore St
Baltimore, MD 21231-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1588299028
Shaneka Victor's National Provider Identifier is 1588299028, issued on Mar 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 5, 2020.