Individual
JESSICA DEMACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
386 STONE CHURCH RD, TIVERTON, RI 02878-2813
(401) 486-1042
Mailing address
386 STONE CHURCH RD, TIVERTON, RI 02878-2813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2333969
MA
163W00000X
Registered Nurse
RN63409
RI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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