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Individual

ROSS BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 437-8947
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN54932
RI

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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