Individual
SAMANTHA JEAN GRILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 LAUREL HILL AVE, CRANSTON, RI 02920-7643
(401) 316-1766
Mailing address
416 LAUREL HILL AVE, CRANSTON, RI 02920-7643
(401) 316-1766
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2013
Last updated
10/06/2013
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