Individual
EULOGIA COLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 BROAD ST, PROVIDENCE, RI 02907-1463
(401) 390-6816
Mailing address
89 STANSBURY ST, PROVIDENCE, RI 02908-1619
(401) 497-4227
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
202017
RI
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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