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Individual

SANDRA CONSTANTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
690 WARREN AVE, EAST PROVIDENCE, RI 02914-1411
(401) 527-3328
Mailing address
690 WARREN AVE, EAST PROVIDENCE, RI 02914-1411
(401) 527-3328

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01864
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT01864
MASSAGE THERAPIST
RI
Enumeration date
08/21/2014
Last updated
08/21/2014
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