Individual
LARISSA KRUGER GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
314 TAUNTON AVE, EAST PROVIDENCE, RI 02914-2641
(401) 438-5950
(401) 435-2561
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3525
(401) 438-5950
(401) 435-2561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD17549
RI
207RN0300X
Nephrology Physician
Primary
MD17549
RI
Other
Enumeration date
06/11/2015
Last updated
05/04/2021
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