Individual
IBRAHIM ATANDA SHODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 VILLA AVE, NORTH PROVIDENCE, RI 02904-4421
(401) 663-8893
Mailing address
57 VILLA AVE, NORTH PROVIDENCE, RI 02904-4421
(401) 663-8893
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113637-23
NH
Other
Enumeration date
12/06/2024
Last updated
02/13/2025
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