SUSAN M IACONO

PROVIDENCE, RI
NPI1205159217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2010-03-04
Last Update Date2010-03-04
Business Address
-- SUSAN M IACONO BA
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9100
Mailing Address
-- SUSAN M IACONO BA
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9100