Individual
ALPHONSO RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 RUSSO ST APT 2F, PROVIDENCE, RI 02904-1281
(315) 418-0070
Mailing address
62 RUSSO ST APT 2F, PROVIDENCE, RI 02904-1281
(315) 418-0070
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
200711
RI
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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