Provider Demographics
NPI:1669235214
Name:AMARAL, SHEENA MARIE
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:MARIE
Last Name:AMARAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SHIP POND RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-1849
Mailing Address - Country:US
Mailing Address - Phone:508-250-5056
Mailing Address - Fax:
Practice Address - Street 1:HOME OF LITTE WANDERES
Practice Address - Street 2:900 SHIP POND ROAD
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-250-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program