Individual
JESSICA LUZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 519-3501
(401) 456-2147
Mailing address
16 SIBLEY ST, PROVIDENCE, RI 02907-3227
(401) 519-3501
(401) 456-2147
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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