SOVIJJA POU

PROVIDENCE, RI
NPI1093454589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05573)
Enumeration Date2022-06-02
Last Update Date2022-06-02
Business Address
SOVIJJA POU MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
SOVIJJA POU MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741