Individual
CLYDE E ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MAIN STREET, PAWTUCKET, RI 02860-0000
(401) 475-0636
(401) 205-1026
Mailing address
225 MAIN STREET, PAWTUCKET, RI 02860-0000
(401) 475-0636
(401) 205-1026
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2218047
RI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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