Individual
CLYDE E HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2190 MENDON RD, CUMBERLAND, RI 02864-3805
(401) 333-0090
(401) 333-0490
Mailing address
2190 MENDON RD, CUMBERLAND, RI 02864-3805
(401) 333-0090
(401) 333-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG495
RI
Other
Enumeration date
10/23/2006
Last updated
10/28/2011
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