Individual
MS. RAMONA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
87 HOLLISTER RD, SWANSEA, MA 02777-3339
(774) 627-5046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA00244-G
RI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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