Individual
DENISE CHARLENE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DORRANCE ST, PROVIDENCE, RI 02903-2018
(888) 966-3044
Mailing address
10 DORRANCE ST, PROVIDENCE, RI 02903-2018
(888) 966-3044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN09360
RI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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