IndividualActive
Alphonso Ray
NPI 1407737323 · Community Health Worker · Providence, RI
Provider details
- NPI number
- 1407737323
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 200711 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
62 Russo St Apt 2f
Providence, RI 02904-1281
Phone: (315) 418-0070
Approximate (ZIP-level) locationGet directions
Mailing address
62 Russo St Apt 2f
Providence, RI 02904-1281
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.