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NPI 1992680276

IndividualActive

Clyde Ross

NPI 1992680276 · Community Health Worker · Pawtucket, RI

Provider details

NPI number: 1992680276
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 2218047 (RI)

Practice location

225 Main Street

Pawtucket, RI 02860-0000

Phone: (401) 475-0636

Fax: (401) 205-1026

More RI providers

Mailing address

225 Main Street

Pawtucket, RI 02860-0000

Registry dates

Enumerated: 2025-08-07
Last updated: 2025-08-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Clyde Ross — NPI 1992680276, Pawtucket, RI | NPI Central