Individual
PAUL CHARLES MAC MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA.ED
Contact information
Practice address
207 GARDEN ST, CRANSTON, RI 02910-3507
(401) 919-5487
Mailing address
207 GARDEN ST, CRANSTON, RI 02910-3507
(401) 919-5487
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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