| NPI | 1639828569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA AKINBOBOYE Manager 401-219-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-12-16 |