ATHENA JANE MANATIS-LORNELL

PROVIDENCE, RI
NPI1255914610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  LP05919)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05919)
Enumeration Date2021-05-04
Last Update Date2023-06-23
Business Address
ATHENA JANE MANATIS-LORNELL
593 EDDY STREET
PROVIDENCE, RI 02903
Phone number: 401-444-4393
Mailing Address
ATHENA JANE MANATIS-LORNELL
593 EDDY STREET
PROVIDENCE, RI 02903
Phone number: