Individual
TANISHA VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 DEXTER ST, CENTRAL FALLS, RI 02863-2742
(401) 721-9200
Mailing address
40 GLOSSOP ST, PROVIDENCE, RI 02911-3138
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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