Individual
MARIA BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 667-6518
Mailing address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 667-6518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
07/23/2015
Last updated
07/23/2015
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