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Contact Information

MIRNA J MANZANO
626 BROAD ST
CENTRAL FALLS, RI02863-2835
 Phone: 401-728-5920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Health & Wellness Coach

171400000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for MIRNA J MANZANO · (Female)

NPI # 1629861919
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2025
Last updated 05/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • RI License # 201806
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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