ILYA REIKHRUD

PROVIDENCE, RI
NPI1144208034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RNA00018G)
Enumeration Date2006-01-03
Last Update Date2013-10-03
Business Address
-- ILYA REIKHRUD CRNA
593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
Mailing Address
-- ILYA REIKHRUD CRNA
ONE VIRGINIA AVENUE SUITE 201
PROVIDENCE, RI 02905
Phone number: 401-490-0916