Individual
SHAWN MICHAEL PACIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CYNTHIA DR, COVENTRY, RI 02816-8413
(401) 580-2291
Mailing address
33 CYNTHIA DR, COVENTRY, RI 02816-8413
(401) 580-2291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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