Individual
SANDY PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN57728
RI
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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