Kenneth Elad Fonguck
NPI #1265028781 in Woonsocket, Rhode Island
Provider Information
- NPI Number
- 1265028781
- Entity Type
- Individual
- Name
- Kenneth Elad Fonguck
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 18, 2020
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 1 CVS DR
- City
- Woonsocket
- State
- Rhode Island
- ZIP Code
- 02895-6146
- Phone
- (402) 419-6291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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