MARYGENE MANANSALA SANTA TERESA, MD
Psychiatric in Providence, RI

License number
Rhode Island 041649
Category
Psychiatric
Type
Psychiatry
License number
Rhode Island 11597
Category
Psychiatric
Type
Psychiatry
Address
Address 2
530 NORTH Main Street The Providence Ctr, Providence, RI 02904
41 Emily Ln, Warwick, RI 02886
Phone
(401) 528-0110
(401) 276-4111 (Fax)
(201) 647-9831
National Provider ID: 1336158344
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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