Individual
CASSANDRA SOUSA OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 BROADWAY, PROVIDENCE, RI 02909-1434
(401) 331-4475
Mailing address
363 HAWKINS ST, PROVIDENCE, RI 02904-2306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00650
RI
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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