SVETLANA IVANOV

PROVIDENCE, RI
NPI1164409009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  APRN01263)
Enumeration Date2005-12-30
Last Update Date2016-12-14
Business Address
-- SVETLANA IVANOV CRNA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-490-0917
Mailing Address
-- SVETLANA IVANOV CRNA
117 ELLENFIELD ST SUITE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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