Wild Taino LLC

NPI #1215649827 in West Warwick, Rhode Island

Provider Information

NPI Number: 1215649827
Entity Type: Organization
Organization Name: Wild Taino LLC
Primary Specialty: Doula
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 1578 MAIN ST # A
City: West Warwick
State: Rhode Island
ZIP Code: 02893-4055
Phone: (401) 290-8076

Authorized Official

Name: KOREN CARBUCCIA, CPD
Title: OWNER
Phone: (401) 290-8076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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