Individual
DIANA SIMOES FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 PITMAN ST, PROVIDENCE, RI 02906-5112
(401) 861-4846
Mailing address
135 PITMAN ST, PROVIDENCE, RI 02906-5112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH04594
RI
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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