Individual
HENRY RANDALL PENDLETON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1407 S COUNTY TRL, EAST GREENWICH, RI 02818-1652
(401) 886-4040
(401) 886-4010
Mailing address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 273-6510
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NPP37741
RI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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