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Individual

ANA COSTA BRANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
101-103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-4120
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN47767
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GH57134
RI
Enumeration date
02/10/2010
Last updated
12/18/2018
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