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CARLOS EDUARDO CUEVA VERTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDOE

Contact information

Practice address
44 JASPER ST, PROVIDENCE, RI 02904-1330
(401) 453-6689
Mailing address
44 JASPER ST, PROVIDENCE, RI 02904-1330
(401) 453-6689

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN45832
RI

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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