Individual
DOLA M CONCEICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-A
Contact information
Practice address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
(401) 272-1302
Mailing address
118 DUDLEY ST., PROVIDENCE, RI 02903-2403
(401) 274-2300
(401) 272-1302
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD00160
RI
Other
Enumeration date
03/18/2008
Last updated
10/15/2008
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