Individual
NELIDA DAMOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 02905-5443
(401) 444-7703
Mailing address
765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 02905-5443
(401) 444-7703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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