Individual
RYAN NURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 STONE ST, AUBURN, MA 01501-2743
(774) 272-5651
Mailing address
54 STONE ST, AUBURN, MA 01501-2743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3555
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2020
Last updated
05/06/2021
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