KENNETH MONTALVAN

PROVIDENCE, RI
NPI1235010539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-09-11
Last Update Date2025-09-11
Business Address
-- KENNETH MONTALVAN
115 EMPIRE ST
PROVIDENCE, RI 02903-3255
Phone number: 401-228-4526
Mailing Address
-- KENNETH MONTALVAN
115 EMPIRE ST
PROVIDENCE, RI 02903-3255
Phone number: