Individual
DIANE KENAMEH-NTEINMUSI AYUNINJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MPH
Contact information
Practice address
180 CORLISS ST, PROVIDENCE, RI 02904-2602
(401) 793-4582
Mailing address
180 CORLISS ST, PROVIDENCE, RI 02904-2602
(401) 793-4582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29785
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH06491
RI
Other
Enumeration date
07/30/2020
Last updated
03/15/2023
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