Individual
TAMMIKA MASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
749 PARK AVE, CRANSTON, RI 02910-2136
(401) 781-1110
Mailing address
749 PARK AVE, CRANSTON, RI 02910-2136
(401) 781-1110
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
RI
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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