Individual
MERCEDES MARIE GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HIGH ST, WAKEFIELD, RI 02879
(401) 789-1422
(401) 782-6810
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01055
RI
Other
Enumeration date
06/01/2018
Last updated
08/03/2018
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