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Individual

ETHEL MARIE MORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CDE, CDOE

Contact information

Practice address
186 CASS AVE, WOONSOCKET, RI 02895
(401) 769-9355
(401) 765-1721
Mailing address
319 QUAKER HIGHWAY, UXBRIDGE, MA 01569
(508) 278-4344

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN25434
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31282-4
BLUE CROSS/ BLUE SHIELD
RI
01
406764
BLUE CHIP
RI
01
6300126
UNITED HEALTH CARE
RI
Enumeration date
10/02/2006
Last updated
07/08/2007
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