Individual
MARIE LABOISSONNIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDOE
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-3309
(401) 456-3762
Mailing address
200 HIGH SERVICE AVE, MARION HALL, 4TH FL., NORTH PROVIDENCE, RI 02904-5113
(401) 456-3309
(401) 456-3762
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
24271
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN24271
LICENSE
RI
Enumeration date
06/09/2009
Last updated
06/09/2009
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