IDA V WHITE

PROVIDENCE, RI
NPI1154882538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: RI  PA01458)
Enumeration Date2019-03-27
Last Update Date2022-06-21
Business Address
IDA V WHITE PA
164 SUMMIT AVE
PROVIDENCE, RI 02906
Phone number: 401-793-4102
Mailing Address
IDA V WHITE PA
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number:
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