Individual
MRS. HOLLY JANE DWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 274-4739
Mailing address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 331-7850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00586
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245430800
—
RI
Enumeration date
07/23/2007
Last updated
03/02/2021
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