Individual
MS. MOLLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 BAKER ST, PROVIDENCE, RI 02905-4417
(401) 781-2400
Mailing address
124 BURBANK DR, WARWICK, RI 02886-3506
(603) 817-2573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01063
RI
Other
Enumeration date
07/22/2018
Last updated
04/02/2024
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