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1598408304
TAMRA DANIELLE PORTALLA
PROVIDENCE, RI
NPI
1598408304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: DAOM00093)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
TAMRA DANIELLE PORTALLA DAOM
255 HOPE ST
PROVIDENCE, RI 02906-2261
Phone number: 603-557-5237
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Mailing Address
TAMRA DANIELLE PORTALLA DAOM
20 BLACKSTONE BLVD APT 14
PROVIDENCE, RI 02906-5448
Phone number: 603-557-5237
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