Medical school: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1023684651
Practice Locations (4)
110 ELM ST
Providence, RI 029034626
110 ELM ST
PROVIDENCE, RI 029034626
110 ELM ST FL
PROVIDENCE, RI 029034626
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Source: CMS National Downloadable File, September 2026.