MARLA ELAYNA PANCIOCCO D'ALFONSO

PROVIDENCE, RI
NPI1982076212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: RI  SP01358)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CA  31905)
235Z00000X Speech-Language Pathologist,
(Licence: MA  9637)
Enumeration Date2015-10-26
Last Update Date2022-04-12
Business Address
Mrs. MARLA ELAYNA PANCIOCCO D'ALFONSO
68 ERIE ST
PROVIDENCE, RI 02908-1220
Phone number: 339-237-0290
Mailing Address
Mrs. MARLA ELAYNA PANCIOCCO D'ALFONSO
68 ERIE ST
PROVIDENCE, RI 02908-1220
Phone number: 339-237-0290