Organization
LIFE AND DESTINY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SELASI KWAMI (OWNER)
(401) 499-8669
Entity
Organization
Contact information
Practice address
2 YALE AVE, PROVIDENCE, RI 02908-5235
(401) 999-2323
(401) 382-3802
Mailing address
2 YALE AVE, PROVIDENCE, RI 02908-5235
(401) 999-2323
(401) 382-3802
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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