HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC
Suppliers at East Ave, Pawtucket, RI

License number
Rhode Island MD06978
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: DIRECTOR OF OPERATIONS
Phone: (858) 625-2990
Address
Address 2
727 East Ave EAST, Pawtucket, RI 02860
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1447392469
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC at bizstanding.com

Hillside Avenue Family and Community Medicine, LLC

727 E Ave, Pawtucket, RI 02860

Industry:
TO ENGAGE IN THE PRACTICE OF FAMILY AND COMMUNITY MEDICINE
Registration:
Oct 29, 2003
State ID:
000135644
Business type:
Domestic Limited Liability Company

Suppliers licenses in Rhode Island










Other Doctors licenses in Rhode Island