Healthcare Provider Details

I. General information

NPI: 1356954820
Provider Name (Legal Business Name): MAUREEN ELIZABETH QUINN DAOM, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAUREEN ELIZABETH QUINN DAOM, LAC

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 16
NORTH KINGSTOWN RI
02852-0016
US

IV. Provider business mailing address

PO BOX 16
NORTH KINGSTOWN RI
02852-0016
US

V. Phone/Fax

Practice location:
  • Phone: 401-487-2195
  • Fax:
Mailing address:
  • Phone: 401-487-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00218
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: