Individual
ASHLEY R CHAPENDAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PLYMOUTH ST # B, PROVIDENCE, RI 02907-2918
(617) 893-2182
Mailing address
20 PLYMOUTH ST # B, PROVIDENCE, RI 02907-2918
(617) 893-2182
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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