Individual
MEMAH HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1524 ATWOOD AVE, STE 220, JOHNSTON, RI 02919-3228
(401) 272-1900
(401) 453-3049
Mailing address
1524 ATWOOD AVENUE, STE 220, JOHNSTON, RI 02919
(401) 272-1900
(401) 453-3049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00583
RI
Other
Enumeration date
03/29/2011
Last updated
01/24/2012
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