Individual
MRS. DAVINA MARIE LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1563 N MAIN ST STE 202, FALL RIVER, MA 02720-2983
(508) 324-1060
Mailing address
187 MACARTHUR RD, WOONSOCKET, RI 02895-3832
(401) 744-0943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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