Individual
JILL M DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
Mailing address
PO BOX 899, CHARLESTOWN, RI 02813-0899
(401) 364-7705
(401) 364-3310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60188
RI
Other
Enumeration date
05/23/2013
Last updated
07/27/2020
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