Individual
MELINDA MATANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4900
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6764673
DRIVERS LICENSE
AL
Enumeration date
06/23/2016
Last updated
06/23/2016
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