Individual
JOHANNA DAURAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18 SLATE HILL RD, CRANSTON, RI 02920-3094
(401) 477-0054
Mailing address
18 SLATE HILL RD, CRANSTON, RI 02920-3094
(401) 477-0054
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01564
RI
Other
Enumeration date
03/29/2023
Last updated
05/12/2023
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