Individual
CHIRENE KOSSEIFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 MANTON AVE, PROVIDENCE, RI 02909-5628
(401) 435-5612
Mailing address
935 MANTON AVE, PROVIDENCE, RI 02909-5628
(401) 435-5612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05445
RI
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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