Individual
MRS. MINERVA VIDAL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 785-2666
Mailing address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 785-2666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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