Individual
GRACE M PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 HALLMARK DR, WARWICK, RI 02886-8574
(401) 480-0090
Mailing address
21 HALLMARK DR, WARWICK, RI 02886-8574
(401) 480-0090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
40028107
RI
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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