Individual
KYONNA MICHELLA DAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 PARK AVE STE 211, CRANSTON, RI 02910-3227
(401) 318-2518
Mailing address
75 PUTNAM PIKE APT 6, JOHNSTON, RI 02919-2054
(857) 300-0967
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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