AMELIA POLISENO GRANT

PROVIDENCE, RI
NPI1548845084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: RI  LDN01101)
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
AMELIA POLISENO GRANT RD, LDN
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5603
Mailing Address
AMELIA POLISENO GRANT RD, LDN
117 ELLENFIELD ST
PROVIDENCE, RI 02905-4541
Phone number: 401-444-5640
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