Mr. Shane L Totten
Mr. Shane L Totten is a Student in an Organized Health Care Education/Training Program in Medford, Massachusetts. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
19 Hamilton StMedford, MA 02155-4207
Phone: (978) 257-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1043820764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |
| Mailing address | 56 Dimock St, Roxbury, MA 02119-1210 |
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