Individual
MRS. JUSTINE FAYE IADELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
80 LAMBERT LIND HWY, WARWICK, RI 02886-1071
(401) 739-7900
Mailing address
133 CASSANDRA LN, NORTH KINGSTOWN, RI 02852-3411
(401) 529-2046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01792
RI
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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