Individual
ANGELA NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LUTHER ST, JOHNSTON, RI 02919-6129
(401) 270-0457
Mailing address
6 LUTHER ST, JOHNSTON, RI 02919-6129
(401) 270-0457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00282
RI
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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