Individual
MRS. MICHELLE O BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 COMMERCE ST STE 100, LINCOLN, RI 02865-1186
(401) 793-8484
(401) 793-8481
Mailing address
11 GALE CT, NORTH PROVIDENCE, RI 02904-1035
(401) 699-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01514
RI
Other
Enumeration date
10/03/2022
Last updated
10/18/2022
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