Provider Demographics
NPI:1336591080
Name:SARRO, JOANN (DAC)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:SARRO
Suffix:
Gender:F
Credentials:DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MANILLA AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-3205
Mailing Address - Country:US
Mailing Address - Phone:443-831-2347
Mailing Address - Fax:
Practice Address - Street 1:655 MAIN ST
Practice Address - Street 2:SUITE 214
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3680
Practice Address - Country:US
Practice Address - Phone:443-831-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00403171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist