Graduated: 1993
NPI: 1346293016
Practice Locations (2)
EAST BAY COMMUNITY ACTION PROGRAM
100 BULLOCKS POINT
RIVERSIDE, RI 029155351
EAST BAY COMMUNITY ACTION PROGRAM
100 BULLOCKS POINT AVE
RIVERSIDE, RI 029155351
4014371008
Source: CMS National Downloadable File, September 2026.