Individual
ERICA DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(866) 389-2727
Mailing address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00990
RI
363A00000X
Physician Assistant
PA6268
MA
Other
Enumeration date
08/02/2017
Last updated
11/03/2021
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