Individual
MEGAN HALLONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4829
(401) 455-6200
(401) 455-6617
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01340
RI
Other
Enumeration date
06/16/2021
Last updated
02/16/2022
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