Individual
MRS. PATRICIA ANN PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
1076 N MAIN ST, PROVIDENCE, RI 02904-5760
(401) 861-7711
(401) 421-5710
Mailing address
111 BISHOP HILL RD, JOHNSTON, RI 02919-2821
(401) 764-0124
(401) 764-0124
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LDN00425
RI
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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