MARIAN E IDAHOSA

WOONSOCKET, RI
NPI1962973164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN01982)
Enumeration Date2018-12-16
Last Update Date2021-10-22
Business Address
MARIAN E IDAHOSA
1054 CASS AVE
WOONSOCKET, RI 02895-4935
Phone number: 866-389-2727
Mailing Address
MARIAN E IDAHOSA
1054 CASS AVENUE
WOONSOCKET, RI 02895-5947
Phone number:
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