Individual
MISS ANDREA VIRGINIA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MOUNT PLEASANT AVE, ATHLETICS DEPARTMENT, PROVIDENCE, RI 02908-1924
(401) 456-8161
Mailing address
29 APPLETON ST, CRANSTON, RI 02910-2401
(401) 714-0603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00210
RI
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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