PHOUSADY C PHITHAYAPHONE

PROVIDENCE, RI
NPI1811881907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
PHOUSADY C PHITHAYAPHONE CCHW
270 ELMWOOD AVE
PROVIDENCE, RI 02907-1524
Phone number: 401-274-8811
Mailing Address
PHOUSADY C PHITHAYAPHONE CCHW
270 ELMWOOD AVE
PROVIDENCE, RI 02907-1524
Phone number: 401-274-8811