Individual
GRACE WANJIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4247
(401) 444-6662
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP02340
RI
207P00000X
Emergency Medicine Physician
Primary
MD15701
RI
Other
Enumeration date
06/07/2011
Last updated
02/02/2018
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