John Mahan
John Mahan is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.
- Licensed in
- RI
- In the registry since
- 2023
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 444-5057
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence CLP05918 (RI) |
|---|
Record details
| NPI number | 1902598634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 593 Eddy St, Providence, RI 02903-4923 |
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