Individual
MONIQUE COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2920
Mailing address
25 GREENE ST APT 1F, PAWTUCKET, RI 02860-2363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10936
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/30/2018
Last updated
03/15/2022
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