Individual
NICOLAS BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 HOPE ST, PROVIDENCE, RI 02912-9090
(401) 863-3851
Mailing address
235 HOPE ST, PROVIDENCE, RI 02912-9090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2330
MA
2255A2300X
Athletic Trainer
Primary
AT00374
RI
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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