Individual
MA. LIZA ANN FLORES FAMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
191 MACARTHUR BLVD, COVENTRY, RI 02816-7244
(401) 828-7688
(401) 828-2914
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13039
RI
207Q00000X
Family Medicine Physician
MT187985
PA
Other
Enumeration date
09/05/2007
Last updated
07/27/2009
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