Individual
BEVERLY SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 337-8205
Mailing address
32 CURTIS ST, NORWICH, CT 06360-3012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
41777
CT
164W00000X
Licensed Practical Nurse
Primary
LPN13313
RI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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