Individual
VIVIAN VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
79 WARRINGTON ST, PROVIDENCE, RI 02907-1923
(401) 215-3481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN67038
RI
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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