Individual
MRS. EMILY HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 COLLYER ST, SUITE 302, PROVIDENCE, RI 02904-1869
(401) 793-5145
(401) 793-5171
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 854-2428
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00410
RI
Other
Enumeration date
07/08/2010
Last updated
10/22/2010
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