IDA KRUSE

WAKEFIELD, RI
NPI1710409214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA00985)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
IDA KRUSE PA-C
1 HIGH ST
WAKEFIELD, RI 02879-3103
Phone number: 401-789-1422
Mailing Address
IDA KRUSE PA-C
1 HIGH ST
WAKEFIELD, RI 02879-3103
Phone number: 401-789-1422
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