Individual
MICHELLE BOUYSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4531
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN46877
RI
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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