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Individual

MRS. KRISTEN M LHERISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
(401) 276-4124
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
(401) 276-4124

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN53730
RI

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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