Individual
MISS CELIA CORDEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOK ST, PROVIDENCE, RI 02906-2231
(401) 863-3953
Mailing address
450 BROOK ST, PROVIDENCE, RI 02906-2231
(786) 501-6768
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01382
RI
Other
Enumeration date
06/14/2021
Last updated
01/25/2022
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