Organization
JONATHAN DELA LUNA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN VILLAS DELA LUNA MD (MEMBER)
(401) 333-3810
Entity
Organization
Contact information
Practice address
2180 MENDON RD STE 21, CUMBERLAND, RI 02864-3825
(401) 333-3810
Mailing address
2180 MENDON RD STE 21, CUMBERLAND, RI 02864-3825
(401) 333-3810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD14529
RI
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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