Individual
MICHAEL CECIL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 FREEBORN AVE, EAST PROVIDENCE, RI 02914-4653
(401) 559-6942
Mailing address
168 FREEBORN AVE, EAST PROVIDENCE, RI 02914-4653
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
9312133
RI
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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