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Organization

IASO HEALTH GROUP LLC

Active
Other names
Iaso Health
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE WICKS-TUCKER MSN, APRN, FNP-BC (OWNER)
(401) 868-4691
Entity
Organization

Contact information

Practice address
201 WENTWORTH AVE, CRANSTON, RI 02905
(401) 868-4691
(401) 340-1583
Mailing address
555 N MAIN ST # 1281, PROVIDENCE, RI 02904-5722

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/20/2026
Last updated
04/25/2026
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