Individual
DR. CONSTANCE MAY COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
29 UPDIKE AVE, NORTH KINGSTOWN, RI 02852-5728
(401) 295-1992
Mailing address
29 UPDIKE AVE, NORTH KINGSTOWN, RI 02852-5728
(401) 295-1992
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2249
RI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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