Individual
REBECCA PARHAM WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1169 MINERAL SPRING AVE, N PROVIDENCE, RI 02904-4102
(401) 725-3888
Mailing address
1169 MINERAL SPRING AVE, N PROVIDENCE, RI 02904-4102
(401) 725-3888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00698
RI
Other
Enumeration date
04/06/2013
Last updated
04/06/2013
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