YANEISHKA ODRACIR ORTIZ

PROVIDENCE, RI
NPI1083505648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: RI  202018)
Enumeration Date2025-07-11
Last Update Date2025-07-11
Business Address
YANEISHKA ODRACIR ORTIZ
640 BROAD ST
PROVIDENCE, RI 02907-1463
Phone number: 401-390-6816
Mailing Address
YANEISHKA ODRACIR ORTIZ
2597 HARTFORD AVE
JOHNSTON, RI 02919-1620
Phone number: 347-935-2856