CAROLE SUZANNE LUCIE SPAKE

PROVIDENCE, RI
NPI1932789385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05684)
Additional Taxonomies208200000X Plastic Surgery
(Licence: RI  LP05684)
Enumeration Date2021-04-10
Last Update Date2022-06-13
Business Address
CAROLE SUZANNE LUCIE SPAKE MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4000
Mailing Address
CAROLE SUZANNE LUCIE SPAKE MD
389 BENEFIT ST APT 2
PROVIDENCE, RI 02903-2945
Phone number: