Ellery Ann Conway

NPI #1912413907 in Newport, Rhode Island

Provider Information

NPI Number: 1912413907
Entity Type: Individual
Name: Ellery Ann Conway
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Dec 28, 2017
Last Updated: Dec 28, 2017

Practice Location

Address: 8 DODGE CT
City: Newport
State: Rhode Island
ZIP Code: 02840-2114
Phone: (401) 862-3561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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