Individual
DALE SUMILANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHESTNUT ST, PROVIDENCE, RI 02903-4169
(401) 262-9964
Mailing address
111 CHESTNUT ST, PROVIDENCE, RI 02903-4169
(401) 262-9964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN50764
RI
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN02624
RI
Other
Enumeration date
09/28/2020
Last updated
12/04/2024
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