Individual
MYRANDA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(402) 419-6261
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017002067
MO
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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