Individual
SAMERA NESSRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY STREET, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-5175
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00962
RI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/26/2017
Last updated
02/05/2018
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