Individual
AUTUMN DAUKSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-0330
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01726
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
01/31/2024
Last updated
10/03/2024
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