Individual
RICARDO RAFAEL SQUILLANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 AVENUE OF THE ARTS, NEWPORT NEWS, VA 23606-3072
(609) 865-5586
Mailing address
15 ABERDEEN ST APT 4, BOSTON, MA 02215-3863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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