Individual
MISS NICOLE TRACY GENEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
202 CANFIELD AVE, WARWICK, RI 02889-8806
(401) 440-4417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44212
RI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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