NPI 1063574333
Shirley a Fazzino, LICAC
Practice location
- Address
- 325 Williams St, Providence, RI 02906-3845
- Phone
- (401) 621-8480
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1063574333
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.