Individual
JIMMY ANSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 MCCLELLAN ST, PROVIDENCE, RI 02909-5619
(401) 474-0392
(401) 719-0651
Mailing address
61 MCCLELLAN ST, PROVIDENCE, RI 02909-5619
(401) 474-0392
(401) 719-0651
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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