Individual
DR. MIRIAM SEGURA-HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860
(401) 729-2206
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(310) 801-1365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP04108
RI
208D00000X
General Practice Physician
286164
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP04108
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/06/2015
Last updated
05/30/2018
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