Individual
SRISAKULA SANGCHANINTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HIGH SERVICE AVE, N PROVIDENCE, RI 02904-5113
(401) 456-3638
Mailing address
510 WOODWARD RD, FIRST FL., N PROVIDENCE, RI 02904-4719
(401) 709-4240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36677
RI
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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