Individual
DOMINGA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 BROAD ST, CENTRAL FALLS, RI 02863-2835
(401) 728-5920
(401) 724-5550
Mailing address
626 BROAD ST, CENTRAL FALLS, RI 02863-2835
(401) 728-5920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
RI
171400000X
Health & Wellness Coach
—
RI
172V00000X
Community Health Worker
Primary
200976
RI
Other
Enumeration date
06/06/2023
Last updated
05/16/2025
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