Individual
KIMBERLY DIAS
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) 276-6101
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-6101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN66592
RI
Other
Enumeration date
10/06/2022
Last updated
10/12/2022
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