NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013332014 |   |   |   | PROSPECT CHARTERCARE RWMC, LLC | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |
1285059287 |   |   |   | PROSPECT CHARTERCARE RWMC, LLC | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |
1326463548 |   |   |   | PROSPECT CHARTERCARE RWMC, LLC | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |
1477978476 |   |   |   | PROSPECT CHARTERCARE RWMC, LLC | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |
1760977136 |   |   |   | PROSPECT CHARTERCARE RWMC, LLC | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |