Organization
WEST SIDE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RITA RAIMONDI LMT (OWNER)
(401) 274-2225
Entity
Organization
Contact information
Practice address
376 WEST FOUNTAIN STREET, PROVINCE, RI 02903
(401) 274-2225
(401) 274-2228
Mailing address
376 WEST FOUNTAIN STREET, PROVINCE, RI 02903
(401) 274-2225
(401) 274-2228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01476
RI
225700000X
Massage Therapist
MT01765
RI
225700000X
Massage Therapist
MT01801
RI
Other
Enumeration date
04/25/2012
Last updated
10/20/2017
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