Individual
DR. SHANA DOMONIQUE TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2499
(917) 941-4392
Mailing address
2347 TIEBOUT AVE APT 5A, BRONX, NY 10458-7354
(917) 941-4392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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