Organization
HOSA HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN E IDAHOSA (OWNER NP)
(401) 633-2577
Entity
Organization
Contact information
Practice address
867 PARK AVE, WOONSOCKET, RI 02895-5872
(401) 633-2577
Mailing address
867 PARK AVE, WOONSOCKET, RI 02895-5872
(401) 633-2577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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