Individual
TRINITY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2499
(401) 430-1845
(401) 453-7696
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2499
(401) 430-1845
(401) 453-7696
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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