NICKOLAS DESOUSA FITZGERALD

HOPE VALLEY, RI
NPI1114719515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: RI  200840)
Enumeration Date2025-05-21
Last Update Date2025-05-23
Business Address
NICKOLAS DESOUSA FITZGERALD CCHW
823 MAIN ST
HOPE VALLEY, RI 02832-1920
Phone number: 401-539-2461
Mailing Address
NICKOLAS DESOUSA FITZGERALD CCHW
23 SPENCER DR
WESTERLY, RI 02891-1289
Phone number: 774-328-2195
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