Individual
MRS. KELY CRISTINA JERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
164 SUMMIT AVE, DEPT OF SURGERY, PROVIDENCE, RI 02906-3418
(774) 287-4181
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA549
RI
363A00000X
Physician Assistant
PA7655
MA
Other
Enumeration date
08/19/2010
Last updated
09/11/2020
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