Individual
DR. SARA LOUISE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A.
Contact information
Practice address
130 GANO STREET, PROVIDENCE, RI 02906-0290
(401) 261-6247
(401) 223-0160
Mailing address
130 GANO STREET, PROVIDENCE, RI 02906-0290
(401) 261-6247
(401) 223-0160
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00202
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32107-7
BLUE CROSS BLUE SHIELD RI
RI
Enumeration date
02/12/2007
Last updated
05/19/2008
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