Individual
KILEISHA GABRIELA ALICEA RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4741
(401) 444-4445
Mailing address
593 EDDY STREET, PROVIDENCE, RI 02903
(401) 444-4741
(401) 444-4445
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP06298
RI
Other
Enumeration date
05/24/2022
Last updated
05/29/2024
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