Individual
JONTAE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 ROOSEVELT AVE, CENTRAL FALLS, RI 02863-3202
(401) 226-9682
Mailing address
535 ROOSEVELT AVE, CENTRAL FALLS, RI 02863-3202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
RI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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