MARY MOON MANZO

NEWPORT, RI
NPI1730292244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: RI  PA 449)
Enumeration Date2006-08-17
Last Update Date2012-02-16
Business Address
-- MARY MOON MANZO PA-C
19 FRIENDSHIP ST
NEWPORT, RI 02840-2272
Phone number: 401-849-6868
Mailing Address
-- MARY MOON MANZO PA-C
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3248
Phone number: 401-849-6868