Individual
CHANEL EVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 ATLANTIC BLVD, NORTH PROVIDENCE, RI 02911-1932
(401) 226-1917
Mailing address
55 ATLANTIC BLVD, NORTH PROVIDENCE, RI 02911-1932
(401) 226-1917
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2516680
RI
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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