Individual
TERRANCE ROBERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 GALLATIN ST, PROVIDENCE, RI 02907-2105
(860) 789-8603
Mailing address
117 GALLATIN ST, PROVIDENCE, RI 02907-2105
(860) 789-8603
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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