Individual
ALBERT JACAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN41859
RI
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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