NICHOLAS WALLE

PROVIDENCE, RI
NPI1770701872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: RI  LP00865)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- NICHOLAS WALLE
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
Mailing Address
-- NICHOLAS WALLE
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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