Individual
MAMADOU FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 RANDALL ST, PROVIDENCE, RI 02904-2723
(401) 235-7000
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN47685
RI
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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