Individual
CELITA MOREIRA FREITAS-LANDIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 LEDGE ST, PROVIDENCE, RI 02904-1552
(401) 461-9110
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11039
RI
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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