Individual
LISA MARIE VALATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1188 PONTIAC AVE, CRANSTON, RI 02920-7921
(401) 736-5701
Mailing address
65 VILLAGE HILL LN, NORTH KINGSTOWN, RI 02852-7013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI03665
RI
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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