BENJAMIN ELLIS POTRYKUS

PROVIDENCE, RI
NPI1245111525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-09-11
Last Update Date2025-09-11
Business Address
-- BENJAMIN ELLIS POTRYKUS
119 EMPIRE ST STE 101
PROVIDENCE, RI 02903-3217
Phone number: 401-227-7121
Mailing Address
-- BENJAMIN ELLIS POTRYKUS
119 EMPIRE ST STE 101
PROVIDENCE, RI 02903-3217
Phone number: 401-227-7121
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