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Individual

IMOGEN LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4020
Mailing address
402 NEW RIVER RD UNIT 312, MANVILLE, RI 02838-1072
(508) 463-8298

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57162
RI

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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