Individual provider · Type 1 NPI

Shanice Pullen

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

NPI number 1649640418 Active

Practice location

41 Linnea Ave
Brockton, MA 02301-6425

Call (617) 840-0717 Map

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 1649640418

Shanice Pullen's National Provider Identifier is 1649640418, issued on Oct 5, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Oct 5, 2015.