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Individual

ELSA M AYLLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CDOE

Contact information

Practice address
21 PEACE ST, ST JOSEPH HOSPITAL, PROVIDENCE, RI 02907
(401) 456-4416
(401) 456-4250
Mailing address
200 HIGH SERVICE AVENUE, ATTN ROSE SOARES 4TH FL MARIAN HALL, N PROVIDENCE, RI 02904
(401) 456-3649
(401) 456-4250

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN33580
RI

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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