Individual
CIDALIA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 ATWELLS AVE, PROVIDENCE, RI 02909-2472
(401) 263-6700
Mailing address
46 WORCESTER ST, NEW BEDFORD, MA 02745-1006
(508) 995-0452
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
253470
MA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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