Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DCP00585 | RI |
NPI | 1003049883 |
---|---|
Provider Name | Dr. Kapedjanie Bois |
First Address | Providence, RI 02906-3116 |
Second Address | Providence, RI 02906-3116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 09/09/2016 |