Individual
DR. DIANA M. LEFRANCOIS BOTHELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM
Contact information
Practice address
136 MAPLE DR, TIVERTON, RI 02878-7800
(401) 624-7379
Mailing address
136 MAPLE DR, TIVERTON, RI 02878-7800
(401) 624-7379
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00256
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101565900
US DEPT OF LABOR PROVIDER NUMBER
—
Enumeration date
12/16/2008
Last updated
10/02/2017
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