JIMMY ANSONG

PROVIDENCE, RI
NPI1063984417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2018-12-26
Last Update Date2018-12-26
Business Address
JIMMY ANSONG
61 MCCLELLAN ST
PROVIDENCE, RI 02909-5619
Phone number: 401-474-0392
Mailing Address
JIMMY ANSONG
61 MCCLELLAN ST
PROVIDENCE, RI 02909-5619
Phone number: 401-474-0392
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