Individual
TAMMY ANNA MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 996-4748
Mailing address
86 VILLAGE GRN N APT A, RIVERSIDE, RI 02915-3925
(401) 996-4748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49819
RI
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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