ASHLEE BREANNA HARDESTY VAN GINKEL

PROVIDENCE, RI
NPI1336450295
Former NameASHLEE BREANNA HARDESTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI  LP02048)
Enumeration Date2010-06-25
Last Update Date2021-11-03
Business Address
ASHLEE BREANNA HARDESTY VAN GINKEL MD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6375
Mailing Address
ASHLEE BREANNA HARDESTY VAN GINKEL MD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6375