Individual
MR. SHANE M TOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 RANTOUL ST APT 308, BEVERLY, MA 01915-4296
(617) 447-7528
Mailing address
211 RANTOUL ST APT 308, BEVERLY, MA 01915-4296
(617) 447-7528
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86172510
MA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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