Individual
ELLERY ANN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 DODGE CT, NEWPORT, RI 02840-2114
(401) 862-3561
Mailing address
8 DODGE CT, NEWPORT, RI 02840-2114
(401) 862-3561
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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