MICHAEL 'R' SHOULBERG

WEST WARWICK, RI
NPI1790941458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2008-08-01
Last Update Date2008-08-01
Business Address
MICHAEL 'R' SHOULBERG
37 POTTER AVE
WEST WARWICK, RI 02893-4610
Phone number: 860-694-3505
Mailing Address
MICHAEL 'R' SHOULBERG
37 POTTER AVE
WEST WARWICK, RI 02893-4610
Phone number: