Individual
MARY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 444-7425
Mailing address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 444-7425
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN36861
RI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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