BRENDA PROVOST

PROVIDENCE, RI
NPI1700190006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: RI  RN33793)
Enumeration Date2010-07-29
Last Update Date2010-07-29
Business Address
-- BRENDA PROVOST RN
145 DODGE ST
PROVIDENCE, RI 02907-2236
Phone number: 401-528-0124
Mailing Address
-- BRENDA PROVOST RN
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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