Individual
DR. SHANISE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
599 SILVER ST, COVENTRY, CT 06238-1516
(860) 989-7608
Mailing address
599 SILVER ST, COVENTRY, CT 06238-1516
(860) 989-7608
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2206
CT
Other
Enumeration date
12/11/2020
Last updated
07/07/2022
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