SHANA ROSE WICKLUND

EAST GREENWICH, RI
NPI1437770625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-04-29
Last Update Date2023-11-06
Business Address
SHANA ROSE WICKLUND
1672 S COUNTY TRL STE 302
EAST GREENWICH, RI 02818-5099
Phone number: 401-336-3770
Mailing Address
SHANA ROSE WICKLUND
25 BROOKWOOD DR
NORTH SCITUATE, RI 02857-1576
Phone number: 401-787-4684
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