Individual
MS. DONNA JEAN DEMORANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
Mailing address
126 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908-3942
(401) 743-2017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN42306
RI
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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