Individual
MS. MARY GRACE BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
909 NORTH MAIN STREET, PROVIDENCE, RI 02904
(401) 421-9695
(401) 331-1550
Mailing address
909 NORTH MAIN STREET, PROVIDENCE, RI 02904
(401) 421-9695
(401) 331-1550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00294
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204246
BLUE CHIP
—
01
—
35422
BC BS
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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