Individual
JEANNINE WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 895-9937
Mailing address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 895-9937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN36016
RI
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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