Individual
MARTHA TANJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 DUNCAN DR, PROVIDENCE, RI 02906-7003
(401) 385-5150
Mailing address
1 BELLA CT, NORTH PROVIDENCE, RI 02911-3547
(508) 509-4284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN46976
RI
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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