ROOSEVELT DALE

JOHNSTON, RI
NPI1962375477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: RI  201835)
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
ROOSEVELT DALE
806 GREENVILLE AVE
JOHNSTON, RI 02919-1305
Phone number: 401-516-1314
Mailing Address
ROOSEVELT DALE
806 GREENVILLE AVE
JOHNSTON, RI 02919-1305
Phone number: 401-516-1314
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