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Individual

CHALICE MATHIOUDAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 RICHMOND SQ STE 103K, PROVIDENCE, RI 02906-5166
(401) 648-2400
Mailing address
PO BOX 61, SWANSEA, MA 02777-0061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/27/2012
Last updated
02/22/2021
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Product
  • Claims
  • Eligibility checks
  • EDI platform