Individual
SOLANGE ELKALLASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
750 EAST AVE UNIT 3, PAWTUCKET, RI 02860-6259
(508) 317-3337
Mailing address
750 EAST AVE UNIT 3, PAWTUCKET, RI 02860-6259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN04010
RI
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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