Individual
LUZ OMAIRA BETANCUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
375 TIOGUE AVE SIDE DOOR, COVENTRY, RI 02816-7114
(401) 617-8489
Mailing address
1643 WARWICK AVE STE 200, WARWICK, RI 02889-1525
(401) 617-8489
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
200350
RI
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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