Individual
MARY R WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
321 HOPE ST, PROVIDENCE, RI 02906-2209
(401) 274-8777
(401) 274-8784
Mailing address
38 GEORGE STREET, WAKEFIELD, RI 02879
(203) 494-5005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0791
RI
Other
Enumeration date
01/25/2008
Last updated
04/07/2021
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