Individual
MIRANDA DAPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 273-7100
Mailing address
50 TEMPLE DR, RIVERSIDE, RI 02915-1124
(401) 935-2791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN52402
RI
Other
Enumeration date
08/27/2018
Last updated
04/18/2025
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