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Individual

MARIKO TANSEY NEVEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
60 BAY SPRING AVE, BARRINGTON, RI 02806-1384
(401) 246-1300
(401) 289-2582
Mailing address
60 BAY SPRING AVE, BARRINGTON, RI 02806-1384
(401) 246-1300
(401) 289-2582

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
08137
TX
363A00000X
Physician Assistant
Primary
PA00942
RI
363A00000X
Physician Assistant
PA2412
MA

Other

Enumeration date
10/05/2007
Last updated
05/08/2017
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