Tanya Lyn Medeiros

NPI 1063760049 - Social Worker - 1041C0700X

NPI Details
NPI 1063760049
Gender Female
Enumeration Date 08/22/2012
Last Updated 01/06/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
830 CHALKSTONE AVE
PROVIDENCE RI, 02908-4734, US
Phone (401) 273-7100
Fax
Business Location
830 CHALKSTONE AVE
PROVIDENCE RI, 02908-4734, US
Phone (401) 273-7100
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Rhode Island
License Number CSW01529
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According to our database, Ms. Tanya Lyn Medeiros NPI is 1063760049, taxonomy code is 1041C0700X and license number is CSW01529, license state is located at Rhode Island. Tanya Lyn Medeiros physically located at 830 Chalkstone Ave, Providence RI, 02908-4734. NPI Number Tanya Lyn Medeiros has the Individual type.

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1063760049 NPI number is provided on an as is basis without warranty of any kind. 1063760049 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Lyn Medeiros are for informational purposes only.