Yesshawniecestyles
NPI #1932672110 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1932672110
- Entity Type
- Organization
- Organization Name
- Yesshawniecestyles
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Jul 16, 2019
Practice Location
- Address
- 1495 NEWPORT AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-1342
- Phone
- (401) 388-0309
Authorized Official
- Name
- SHAWNIECE L JACKSON
- Title
- OWNER
- Phone
- (617) 306-1809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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