Organization
MICHELLE CRANDALL PCNS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CRANDALL RN PCNS (OWNER)
(401) 364-0739
Entity
Organization
Contact information
Practice address
35 DAWN LN, WOOD RIVER JUNCTION, RI 02894-1001
(401) 364-0739
Mailing address
PO BOX 204, WOOD RIVER JUNCTION, RI 02894-0204
(401) 364-0739
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PPNS00087
RI
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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