Individual
SAVANNAH MARCELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1524 ATWOOD AVE STE 140, JOHNSTON, RI 02919-3288
(401) 632-4520
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01202
RI
Other
Enumeration date
11/16/2019
Last updated
02/24/2020
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