Individual
DAWN M HARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
37 ASH AVE, CRANSTON, RI 02910-5501
(401) 261-7147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN50501
RI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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