Individual
ALEXIS DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 CHESTNUT ST, MANVILLE, RI 02838-1502
(401) 871-0845
Mailing address
68 CHESTNUT ST, MANVILLE, RI 02838-1502
(401) 871-0845
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
BLUE CROSS
RI
Enumeration date
01/11/2021
Last updated
01/11/2021
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