Individual
MR. SCOTT SPENCER MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
24 OVERLOOK RD, NARRAGANSETT, RI 02882-1253
(401) 788-9584
Mailing address
24 OVERLOOK RD, NARRAGANSETT, RI 02882-1253
(401) 788-9584
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN35475
RI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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