Individual
MELISSA ANN PISTACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 NAHSU DR, LINCOLN, RI 02865-4322
(401) 263-4046
Mailing address
10 NAHSU DR, LINCOLN, RI 02865-4322
(401) 263-4046
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
RAD01402
RI
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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