Shaneil Davidson
Shaneil Davidson is a Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
180 Fairfield AveBridgeport, CT 06604-4252
Phone: (203) 394-6529
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558140087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2023 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 25, 2023 |
| Mailing address | 180 Fairfield Ave, Bridgeport, CT 06604-4252 |
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