Individual
SHANTEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2346142
MA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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