Individual
MRS. KIMBERLEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VICTORIA ST, JOHNSTON, RI 02919-1483
(401) 837-8079
Mailing address
1006 RESERVOIR AVE, CRANSTON, RI 02910-5122
(401) 837-8079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01186
RI
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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