NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831647643 |   |   |   | SILVER FERN PRACTICE, LLC | 4 RICHMOND SQ | PROVIDENCE | RI | 029065117 |
1780011056 | CARNEVALE | BETHANY |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1558854133 | CHIRLIN | AMANDA |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1255946901 | FOKIN | MAX |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1609394030 | LESNETT | GABRIELLE |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1548423528 | PERREAULT | ANDREW |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1518243120 | ROBIDOUX | MELISSA |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1033497052 | SCUNCIO | JENNIFER | TERESA |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1922455583 | SMITH | JARRED |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |