Individual
VICTORIA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1360 W MAIN RD, MIDDLETOWN, RI 02842-6301
(401) 606-3110
Mailing address
6 WOODLAKE DR, JOHNSTON, RI 02919-3157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01697
RI
Other
Enumeration date
05/14/2024
Last updated
06/10/2024
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