Individual
SHALIEA LAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 RUSSO ST APT 2F, PROVIDENCE, RI 02904-1281
(401) 442-2265
Mailing address
62 RUSSO ST APT 2F, PROVIDENCE, RI 02904-1281
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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