Individual
KANANGA BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BRANCH AVE APT 1, PROVIDENCE, RI 02904-2204
(401) 347-8939
Mailing address
19 MILLARD ST, PROVIDENCE, RI 02905-1507
(401) 347-8939
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
EST02772
RI
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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