Individual
ALLYSON MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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